Mariaelena Gonzalez-sozer Md,pa | |
125 W Hague Rd Suite 110 El Paso TX 79902-5814 | |
(915) 351-7644 | |
Not Available |
Full Name | Mariaelena Gonzalez-sozer Md,pa |
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Speciality | Family Medicine |
Location | 125 W Hague Rd, El Paso, Texas |
Authorized Official Name and Position | Mariaelena Gonzalez-sozer (DIRECTOR/OWNER) |
Authorized Official Contact | 9153517644 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mariaelena Gonzalez-sozer Md,pa 125 W Hague Rd Suite 110 El Paso TX 79902-5814 Ph: (915) 351-7644 | Mariaelena Gonzalez-sozer Md,pa 125 W Hague Rd Suite 110 El Paso TX 79902-5814 Ph: (915) 351-7644 |
NPI Number | 1043570112 |
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Provider Enumeration Date | 05/23/2012 |
Last Update Date | 05/23/2012 |
Medicare PECOS PAC ID | 0143204115 |
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Medicare Enrollment ID | O20120607000211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043570112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K4904 (Texas) | Primary |
207R00000X | Internal Medicine | K4904 (Texas) | Secondary |
Provider Name | Mariaelen Gonzalez-sozer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114937216 PECOS PAC ID: 5294719266 Enrollment ID: I20040616001111 |
Provider Name | Gerardo Anaya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013244243 PECOS PAC ID: 7810133923 Enrollment ID: I20130416000416 |
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