| Family Medicine And Skin Care Center | |
|
3570 Rich Beem Ste A El Paso TX 79938-7993 | |
| (915) 504-6900 | |
| (915) 856-1612 |
| Full Name | Family Medicine And Skin Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3570 Rich Beem, El Paso, Texas |
| Authorized Official Name and Position | Adolfo Leon Benitez (DIRECTOR) |
| Authorized Official Contact | 9155046900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine And Skin Care Center 3570 Rich Beem Suite A El Paso TX 79938-3331 Ph: (915) 504-6900 | Family Medicine And Skin Care Center 3570 Rich Beem Ste A El Paso TX 79938-7993 Ph: (915) 504-6900 |
| NPI Number | 1447567193 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 9830386200 |
|---|---|
| Medicare Enrollment ID | O20101210000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447567193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N7523 (Texas) | Primary |
| Provider Name | Adolfo L Benitez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528268166 PECOS PAC ID: 8123142148 Enrollment ID: I20101210000506 |
| Provider Name | Jacqueline Samantha Mcmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609649193 PECOS PAC ID: 1456702711 Enrollment ID: I20240110005258 |
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