| Jeanette Tan, Md, Pa | |
|
7812 Gateway Blvd E Ste 200 El Paso TX 79915-1803 | |
| (915) 592-6868 | |
| (915) 592-6889 |
| Full Name | Jeanette Tan, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7812 Gateway Blvd E, El Paso, Texas |
| Authorized Official Name and Position | Jeanette Tan (PRESIDENT) |
| Authorized Official Contact | 9155926868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Tan, Md, Pa 7812 Gateway Blvd E Ste 200 El Paso TX 79915-1803 Ph: (915) 592-6868 | Jeanette Tan, Md, Pa 7812 Gateway Blvd E Ste 200 El Paso TX 79915-1803 Ph: (915) 592-6868 |
| NPI Number | 1427194240 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/13/2011 |
| Medicare PECOS PAC ID | 6608956727 |
|---|---|
| Medicare Enrollment ID | O20080102000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427194240 | NPI | - | NPPES |
| Provider Name | Jeanette S Tan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518938810 PECOS PAC ID: 0143132910 Enrollment ID: I20050602000754 |
| Provider Name | Adriana P Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205127636 PECOS PAC ID: 4385815539 Enrollment ID: I20110919000693 |
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