| Integrative Primary Care Of El Paso, Pllc | |
|
11450 Gateway North Blvd. Suite 2200 El Paso TX 79934 | |
| (915) 691-5379 | |
| Not Available |
| Full Name | Integrative Primary Care Of El Paso, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11450 Gateway North Blvd. Suite 2200, El Paso, Texas |
| Authorized Official Name and Position | Agathe Franck (CEO) |
| Authorized Official Contact | 9157407064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Primary Care Of El Paso, Pllc 11450 Gateway Blvd N Ste 2200 El Paso TX 79934-3461 Ph: (915) 440-3700 | Integrative Primary Care Of El Paso, Pllc 11450 Gateway North Blvd. Suite 2200 El Paso TX 79934 Ph: (915) 691-5379 |
| NPI Number | 1497411037 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 10/29/2022 |
| Medicare PECOS PAC ID | 7012302706 |
|---|---|
| Medicare Enrollment ID | O20220316000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497411037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fernando J Aviles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255531992 PECOS PAC ID: 7517198070 Enrollment ID: I20140326000537 |
| Provider Name | Cheyenne Cody Rincones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750719498 PECOS PAC ID: 4486885530 Enrollment ID: I20140402002084 |
| Provider Name | Agathe Franck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356512065 PECOS PAC ID: 2961540406 Enrollment ID: I20140801000901 |
| Provider Name | Maria Isabel Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356029789 PECOS PAC ID: 9335503416 Enrollment ID: I20230907001944 |
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