| Las Palmas Del Sol Internal Medicine, Pllc | |
|
1801 N Oregon St El Paso TX 79902-3524 | |
| (915) 307-4631 | |
| (915) 307-3683 |
| Full Name | Las Palmas Del Sol Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 N Oregon St, El Paso, Texas |
| Authorized Official Name and Position | John Rebok (GROUP VP/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Palmas Del Sol Internal Medicine, Pllc 2000 Health Park Dr Fl Hp-2 Brentwood TN 37027-4525 Ph: (615) 327-7600 | Las Palmas Del Sol Internal Medicine, Pllc 1801 N Oregon St El Paso TX 79902-3524 Ph: (915) 307-4631 |
| NPI Number | 1629560818 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/04/2018 |
| Medicare PECOS PAC ID | 9537408455 |
|---|---|
| Medicare Enrollment ID | O20190311001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629560818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory Edward Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326107657 PECOS PAC ID: 2264560622 Enrollment ID: I20100506000265 |
| Provider Name | Marygrace Estrella Courreges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497022404 PECOS PAC ID: 0648446245 Enrollment ID: I20120103000652 |
| Provider Name | Laura Marie Preece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811168461 PECOS PAC ID: 0446475164 Enrollment ID: I20140711002027 |
| Provider Name | Gloria Almeida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984324 PECOS PAC ID: 1355659533 Enrollment ID: I20151008000775 |
| Provider Name | Aasia Bashir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225344369 PECOS PAC ID: 6507008844 Enrollment ID: I20170119001878 |
| Provider Name | Emiliana Gonzalez Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245890136 PECOS PAC ID: 1759792567 Enrollment ID: I20201201000186 |
| Provider Name | Venessa Jean Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487264198 PECOS PAC ID: 8729487384 Enrollment ID: I20210602000193 |
| Provider Name | Michaela Thanh Tra-mi Mckissack-huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386136141 PECOS PAC ID: 7810392065 Enrollment ID: I20210825003758 |
| Provider Name | Lauretta Ndidiamaka Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477859072 PECOS PAC ID: 6901290709 Enrollment ID: I20220221001222 |
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