Canyon Family Clinic | |
7470 Cimarron Plz Ste 300 El Paso TX 79911-2220 | |
(915) 307-7800 | |
Not Available |
Full Name | Canyon Family Clinic |
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Speciality | Internal Medicine |
Location | 7470 Cimarron Plz Ste 300, El Paso, Texas |
Authorized Official Name and Position | Emmanuel Anekwe (PARTNER) |
Authorized Official Contact | 9159969363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Canyon Family Clinic 7470 Cimarron Plz Ste 300 El Paso TX 79911-2220 Ph: (915) 307-7800 | Canyon Family Clinic 7470 Cimarron Plz Ste 300 El Paso TX 79911-2220 Ph: (915) 307-7800 |
NPI Number | 1932807864 |
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Provider Enumeration Date | 02/20/2023 |
Last Update Date | 09/21/2023 |
Medicare PECOS PAC ID | 3173986924 |
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Medicare Enrollment ID | O20230828002816 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932807864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Emmanuel C Anekwe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205871720 PECOS PAC ID: 6103869136 Enrollment ID: I20090123000436 |
Provider Name | Adekunle Adedeji |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902086937 PECOS PAC ID: 4486791753 Enrollment ID: I20091020000378 |
Provider Name | Santos Javier Aguirre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174072797 PECOS PAC ID: 7517307101 Enrollment ID: I20240430001643 |
Provider Name | Melissa Guadalupe Zamora |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003678681 PECOS PAC ID: 3476993932 Enrollment ID: I20240501000415 |
Provider Name | Jesus Enrique Salcido |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255910188 PECOS PAC ID: 8921449059 Enrollment ID: I20240507003220 |
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