| |
1400 N El Paso St Ste D El Paso TX 79902-3438 | |
(915) 213-9710 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 1400 N El Paso St Ste D, El Paso, Texas |
Authorized Official Name and Position | Mindy Estella Solano (FAMILY NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 9152139710 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1400 N El Paso St Ste D El Paso TX 79902-3438 Ph: (915) 213-9710 | 1400 N El Paso St Ste D El Paso TX 79902-3438 Ph: (915) 213-9710 |
NPI Number | 1992522387 |
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Provider Enumeration Date | 09/25/2024 |
Last Update Date | 11/26/2024 |
Medicare PECOS PAC ID | 9931635539 |
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Medicare Enrollment ID | O20241205003630 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992522387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mindy Estella Solano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558801308 PECOS PAC ID: 9830430248 Enrollment ID: I20190412000877 |
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