Haracec Complete Healthcare, Pllc | |
1700 Curie Dr Ste 2100 El Paso TX 79902-2981 | |
(915) 200-1144 | |
(915) 703-7668 |
Full Name | Haracec Complete Healthcare, Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1700 Curie Dr Ste 2100, El Paso, Texas |
Authorized Official Name and Position | Cecilia O Uga (NP/ADMINISTRATOR) |
Authorized Official Contact | 9152001144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Haracec Complete Healthcare, Pllc 1700 Curie Dr Ste 2100 El Paso TX 79902-2981 Ph: (915) 200-1144 | Haracec Complete Healthcare, Pllc 1700 Curie Dr Ste 2100 El Paso TX 79902-2981 Ph: (915) 200-1144 |
NPI Number | 1033622394 |
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Provider Enumeration Date | 11/08/2017 |
Last Update Date | 11/19/2021 |
Medicare PECOS PAC ID | 0143561977 |
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Medicare Enrollment ID | O20190404001759 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033622394 | NPI | - | NPPES |
Q4867 | Other | TX | MD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | Q4867 (Texas) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | Q4867 (Texas) | Primary |
Provider Name | Aghaegbulam H Uga |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083925945 PECOS PAC ID: 9234378191 Enrollment ID: I20150727002483 |
Provider Name | Cecilia O Uga |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336670199 PECOS PAC ID: 1557796695 Enrollment ID: I20200117000044 |
Provider Name | Terngu D Ibilah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346761947 PECOS PAC ID: 8729477252 Enrollment ID: I20230309001380 |
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