El Paso Primary Care Associates | |
4545 N Mesa St El Paso TX 79912-6121 | |
(915) 500-6080 | |
(915) 500-6090 |
Full Name | El Paso Primary Care Associates |
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Speciality | General Practice |
Location | 4545 N Mesa St, El Paso, Texas |
Authorized Official Name and Position | Eduardo Genaro Vazquez (CEO) |
Authorized Official Contact | 9155987246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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El Paso Primary Care Associates 3215 Gateway Blvd W El Paso TX 79903-4225 Ph: (915) 598-7246 | El Paso Primary Care Associates 4545 N Mesa St El Paso TX 79912-6121 Ph: (915) 500-6080 |
NPI Number | 1437616216 |
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Provider Enumeration Date | 02/27/2019 |
Last Update Date | 09/08/2020 |
Medicare PECOS PAC ID | 9032269881 |
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Medicare Enrollment ID | O20190402000278 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437616216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | John F Wilson |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255536710 PECOS PAC ID: 5991786121 Enrollment ID: I20040525001059 |
Provider Name | Wendy S Noles |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164410049 PECOS PAC ID: 6507825593 Enrollment ID: I20041006000178 |
Provider Name | Torrence J Stepteau |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1184601478 PECOS PAC ID: 8224079447 Enrollment ID: I20050518000741 |
Provider Name | Eduardo G Vazquez |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1225283211 PECOS PAC ID: 9133279987 Enrollment ID: I20090616000834 |
Provider Name | Haydee Fiske |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265758445 PECOS PAC ID: 4880727247 Enrollment ID: I20100805000388 |
Provider Name | Jessie Coleman |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1174806277 PECOS PAC ID: 0042532418 Enrollment ID: I20141215000994 |
Provider Name | Katherine Johnston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376097642 PECOS PAC ID: 1052680956 Enrollment ID: I20170710001105 |
Provider Name | Alfonso Apodaca |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1639689490 PECOS PAC ID: 8628335593 Enrollment ID: I20171130002346 |
Provider Name | David A Durussel |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1700896982 PECOS PAC ID: 8820346257 Enrollment ID: I20180801002485 |
Provider Name | Alma Gabriela Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144797093 PECOS PAC ID: 1658625264 Enrollment ID: I20181119001229 |
Provider Name | Marie Claudine Aloeyi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780157909 PECOS PAC ID: 8729325659 Enrollment ID: I20190130000746 |
Provider Name | Ra'kerry Kahlil Rahman |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1972752228 PECOS PAC ID: 2961673082 Enrollment ID: I20190424000241 |
Provider Name | Harold Wayne Ray |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1811314149 PECOS PAC ID: 1658614433 Enrollment ID: I20190517001415 |
Provider Name | Mari C Padilla |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376180877 PECOS PAC ID: 1759715030 Enrollment ID: I20191219000107 |
Provider Name | Luis Eduardo Rochin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1386177400 PECOS PAC ID: 3678901477 Enrollment ID: I20200310000137 |
Provider Name | Carlos Eduardo Trigo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1487101259 PECOS PAC ID: 6901220227 Enrollment ID: I20200721000107 |
Provider Name | Alvaro A Nieto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316719313 PECOS PAC ID: 0143677583 Enrollment ID: I20231107002566 |
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