| El Paso Family And Pediatric Clinic | |
|
12350 Montwood Dr Suite 300 El Paso TX 79928-5694 | |
| (915) 231-6224 | |
| (915) 231-6710 |
| Full Name | El Paso Family And Pediatric Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 12350 Montwood Dr, El Paso, Texas |
| Authorized Official Name and Position | Annette Griego (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9152316224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Family And Pediatric Clinic 12350 Montwood Dr Suite 300 El Paso TX 79928-5694 Ph: (915) 231-6224 | El Paso Family And Pediatric Clinic 12350 Montwood Dr Suite 300 El Paso TX 79928-5694 Ph: (915) 231-6224 |
| NPI Number | 1215488085 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Medicare PECOS PAC ID | 0244513968 |
|---|---|
| Medicare Enrollment ID | O20170203000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215488085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raul Zayas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252549 PECOS PAC ID: 7113998840 Enrollment ID: I20040804001670 |
| Provider Name | Paul M Munoz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891771572 PECOS PAC ID: 2466403118 Enrollment ID: I20050215001047 |
| Provider Name | Annette C Griego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093016 PECOS PAC ID: 9234215989 Enrollment ID: I20080321000105 |
| Provider Name | Joseph A Quintana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477553196 PECOS PAC ID: 4082713375 Enrollment ID: I20090625000060 |
| Provider Name | Rebecca Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336777911 PECOS PAC ID: 2163838319 Enrollment ID: I20210312000693 |
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