| Meridan Medical & Associates | |
|
1900 N Mesa St Ste B El Paso TX 79902-3309 | |
| (915) 200-3788 | |
| (915) 200-3914 |
| Full Name | Meridan Medical & Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 N Mesa St Ste B, El Paso, Texas |
| Authorized Official Name and Position | Taneka Wilborn (OWNER) |
| Authorized Official Contact | 9152003788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridan Medical & Associates 1900 N Mesa St Ste B El Paso TX 79902-3309 Ph: (915) 200-3788 | Meridan Medical & Associates 1900 N Mesa St Ste B El Paso TX 79902-3309 Ph: (915) 200-3788 |
| NPI Number | 1720679129 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 5698183770 |
|---|---|
| Medicare Enrollment ID | O20210412000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720679129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Taneka Latrice Wilborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902327430 PECOS PAC ID: 6406128149 Enrollment ID: I20170816000304 |
| Provider Name | Taneka Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437638673 PECOS PAC ID: 6305199530 Enrollment ID: I20230609000537 |
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