| Jose A Barahona Md Pllc | |
|
10501 Vista Del Sol Dr Ste 110 El Paso TX 79925-7941 | |
| (915) 849-0243 | |
| Not Available |
| Full Name | Jose A Barahona Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10501 Vista Del Sol Dr Ste 110, El Paso, Texas |
| Authorized Official Name and Position | Jose A Barahona (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9158490243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A Barahona Md Pllc 1500 Finsterwald Pl El Paso TX 79936-6011 Ph: (915) 849-0243 | Jose A Barahona Md Pllc 10501 Vista Del Sol Dr Ste 110 El Paso TX 79925-7941 Ph: (915) 849-0243 |
| NPI Number | 1275141319 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 07/12/2022 |
| Medicare PECOS PAC ID | 9739599069 |
|---|---|
| Medicare Enrollment ID | O20201027003215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275141319 | NPI | - | NPPES |
| K1353 | Other | TX | TEXAS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose A Barahona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720151509 PECOS PAC ID: 0749271294 Enrollment ID: I20040521001231 |
| Provider Name | Marcela Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942832167 PECOS PAC ID: 6800206426 Enrollment ID: I20201110000073 |
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