Internal Medicine Group Pa | |
1715 Saul Klienfield Bldg A El Paso TX 79936 | |
(915) 222-8275 | |
(915) 222-8297 |
Full Name | Internal Medicine Group Pa |
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Speciality | Internal Medicine |
Location | 1715 Saul Klienfield Bldg A, El Paso, Texas |
Authorized Official Name and Position | Omar Gonzalez (MEDICAL DIRECTOR) |
Authorized Official Contact | 9152228275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Internal Medicine Group Pa Po Box 71449 El Paso TX 79917-1449 Ph: (915) 222-8275 | Internal Medicine Group Pa 1715 Saul Klienfield Bldg A El Paso TX 79936 Ph: (915) 222-8275 |
NPI Number | 1255623906 |
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Provider Enumeration Date | 05/12/2011 |
Last Update Date | 05/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255623906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K4440 (Texas) | Primary |
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