| El Paso Integrated Physicians Group | |
|
4532 N Mesa St 2nd Floor El Paso TX 79912 | |
| (915) 544-0326 | |
| (915) 544-2897 |
| Full Name | El Paso Integrated Physicians Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4532 N Mesa St, El Paso, Texas |
| Authorized Official Name and Position | Robert A Moreno (PRESIDENT) |
| Authorized Official Contact | 9155440326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Integrated Physicians Group Po Box 3157 El Paso TX 79923-3157 Ph: (915) 544-0326 | El Paso Integrated Physicians Group 4532 N Mesa St 2nd Floor El Paso TX 79912 Ph: (915) 544-0326 |
| NPI Number | 1598775348 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 7810949997 |
|---|---|
| Medicare Enrollment ID | O20050217000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598775348 | NPI | - | NPPES |
| 092550501 | Medicaid | TX |
| Provider Name | Yuri Javier Caballero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174517577 PECOS PAC ID: 1456312008 Enrollment ID: I20041026000876 |
| Provider Name | Rolando R Longoria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417967282 PECOS PAC ID: 0446259162 Enrollment ID: I20061206000597 |
| Provider Name | Samuel H Favela |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245391754 PECOS PAC ID: 2769570522 Enrollment ID: I20071113000412 |
| Provider Name | Jesus A Castro Sandoval |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538198155 PECOS PAC ID: 1557445103 Enrollment ID: I20080221000248 |
| Provider Name | Robert A Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174518823 PECOS PAC ID: 3870690829 Enrollment ID: I20091205000115 |
| Provider Name | Edward Sebastian Leyva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922331776 PECOS PAC ID: 9032258116 Enrollment ID: I20091210000737 |
| Provider Name | Christopher A Batista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245566108 PECOS PAC ID: 1759426406 Enrollment ID: I20100304001100 |
| Provider Name | Efren B De La Rosa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295846731 PECOS PAC ID: 7214031822 Enrollment ID: I20100528000563 |
| Provider Name | Rosario Nadorra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801880208 PECOS PAC ID: 4486645827 Enrollment ID: I20100928000790 |
| Provider Name | Mariano Palacios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407840820 PECOS PAC ID: 8325232945 Enrollment ID: I20101027001494 |
| Provider Name | Eugene Chester Mcdanald |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528052859 PECOS PAC ID: 4587853031 Enrollment ID: I20110113001089 |
| Provider Name | Pablo Alberto Casares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073827762 PECOS PAC ID: 1850519091 Enrollment ID: I20140829000262 |
| Provider Name | Luis C Salayandia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225320278 PECOS PAC ID: 3577844646 Enrollment ID: I20170103001876 |
| Provider Name | Claudia S Flores-lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154826733 PECOS PAC ID: 8921362955 Enrollment ID: I20180427001802 |
| Provider Name | Daniel Varela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477084176 PECOS PAC ID: 0547672065 Enrollment ID: I20201207001837 |
| Provider Name | Alexandra Olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104426642 PECOS PAC ID: 8820403918 Enrollment ID: I20210223002816 |
| Provider Name | Stephannie Lou Legarretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801537790 PECOS PAC ID: 8224404983 Enrollment ID: I20221020001660 |
| Provider Name | Eduardo Berumen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609171768 PECOS PAC ID: 3476724857 Enrollment ID: I20240223003410 |
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