| Geriatric Pm&r Llc | |
|
329 Vista Del Rey Dr El Paso TX 79912-4824 | |
| (915) 209-0157 | |
| Not Available |
| Full Name | Geriatric Pm&r Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 329 Vista Del Rey Dr, El Paso, Texas |
| Authorized Official Name and Position | Catherine Wakeham (OWNER) |
| Authorized Official Contact | 9152090589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Pm&r Llc Po Box 700390, Dept 0471 Tulsa OK 74170-0390 Ph: (254) 727-9193 | Geriatric Pm&r Llc 329 Vista Del Rey Dr El Paso TX 79912-4824 Ph: (915) 209-0157 |
| NPI Number | 1992188403 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992188403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
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