| Hector Lucas Rodriguez Gonzalez Pa | |
|
2311 N Mesa St Ste D El Paso TX 79902-3575 | |
| (915) 740-8615 | |
| Not Available |
| Full Name | Hector Lucas Rodriguez Gonzalez Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2311 N Mesa St Ste D, El Paso, Texas |
| Authorized Official Name and Position | Hector Lucas Rodriguez Gonzalez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9157015872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hector Lucas Rodriguez Gonzalez Pa 2311 N Mesa St Ste D El Paso TX 79902-3575 Ph: (915) 292-4626 | Hector Lucas Rodriguez Gonzalez Pa 2311 N Mesa St Ste D El Paso TX 79902-3575 Ph: (915) 740-8615 |
| NPI Number | 1215783220 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 07/30/2024 |
| Medicare PECOS PAC ID | 4688116940 |
|---|---|
| Medicare Enrollment ID | O20240603001649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215783220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hector Lucas Rodriguez-gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780091520 PECOS PAC ID: 1759650856 Enrollment ID: I20170705002637 |
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