| El Paso Men's Clinic | |
|
125 W Hague Rd Ste 110 El Paso TX 79902-5804 | |
| (915) 271-8400 | |
| (915) 300-0115 |
| Full Name | El Paso Men's Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 125 W Hague Rd, El Paso, Texas |
| Authorized Official Name and Position | Leo Lawrence Altenberg (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9152718400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Men's Clinic 125 W Hague Rd Ste 110 El Paso TX 79902-5804 Ph: (915) 271-8400 | El Paso Men's Clinic 125 W Hague Rd Ste 110 El Paso TX 79902-5804 Ph: (915) 271-8400 |
| NPI Number | 1386117513 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 7810339744 |
|---|---|
| Medicare Enrollment ID | O20240523002763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386117513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Leo L Altenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033201488 PECOS PAC ID: 8921046210 Enrollment ID: I20050418001141 |
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