| Internal Medicine Providers Of El Paso Pllc | |
|
717 Lakeway Dr El Paso TX 79932-3120 | |
| (915) 373-2796 | |
| Not Available |
| Full Name | Internal Medicine Providers Of El Paso Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 717 Lakeway Dr, El Paso, Texas |
| Authorized Official Name and Position | Linda Granado (CREDENTIALER) |
| Authorized Official Contact | 8172094946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Providers Of El Paso Pllc 717 Lakeway Dr El Paso TX 79932-3120 Ph: (915) 373-2796 | Internal Medicine Providers Of El Paso Pllc 717 Lakeway Dr El Paso TX 79932-3120 Ph: (915) 373-2796 |
| NPI Number | 1548643216 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548643216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L9360 (Texas) | Primary |
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