| Medical Services Of The Border Pa | |
|
2121 Wyoming Ave El Paso TX 79903-3508 | |
| (915) 249-4470 | |
| Not Available |
| Full Name | Medical Services Of The Border Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2121 Wyoming Ave, El Paso, Texas |
| Authorized Official Name and Position | Juan G Becerra (OWNER) |
| Authorized Official Contact | 9152494470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Services Of The Border Pa 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Medical Services Of The Border Pa 2121 Wyoming Ave El Paso TX 79903-3508 Ph: (915) 249-4470 |
| NPI Number | 1922665108 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 8820325350 |
|---|---|
| Medicare Enrollment ID | O20190807000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922665108 | NPI | - | NPPES |
| 400039001 | Medicaid | TX |
| Provider Name | Jessica Ann Porras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699246207 PECOS PAC ID: 2062758790 Enrollment ID: I20190116002722 |
| Provider Name | Juan Guillermo Becerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679967640 PECOS PAC ID: 2567796022 Enrollment ID: I20190807000669 |
| Provider Name | Carole Angarano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093456501 PECOS PAC ID: 0840669271 Enrollment ID: I20221207001250 |
| Provider Name | Luis C Ortiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295280386 PECOS PAC ID: 9537496310 Enrollment ID: I20221228001393 |
| Provider Name | Graciela Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649957820 PECOS PAC ID: 3678927225 Enrollment ID: I20230929002994 |
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