| Montwood Family Medical Center | |
|
3022 Trawood Dr El Paso TX 79936-4329 | |
| (915) 855-8550 | |
| (915) 855-3311 |
| Full Name | Montwood Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3022 Trawood Dr, El Paso, Texas |
| Authorized Official Name and Position | Ajai J Agarwal (OWNER) |
| Authorized Official Contact | 9158558550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montwood Family Medical Center 3022 Trawood Dr Ste. A El Paso TX 79936-4329 Ph: (915) 855-8550 | Montwood Family Medical Center 3022 Trawood Dr El Paso TX 79936-4329 Ph: (915) 855-8550 |
| NPI Number | 1851423990 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 07/26/2022 |
| Medicare PECOS PAC ID | 4880683689 |
|---|---|
| Medicare Enrollment ID | O20040507000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851423990 | NPI | - | NPPES |
| 079777102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Secondary |
| Provider Name | Louie Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154325603 PECOS PAC ID: 2062302987 Enrollment ID: I20040316000871 |
| Provider Name | Virabandith V Songbandith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750489043 PECOS PAC ID: 9032199682 Enrollment ID: I20040723000231 |
| Provider Name | Syed A Yusoof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548206840 PECOS PAC ID: 3577527431 Enrollment ID: I20041119000205 |
| Provider Name | Joseph A Quintana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477553196 PECOS PAC ID: 4082713375 Enrollment ID: I20090625000060 |
| Provider Name | Ajai Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437240256 PECOS PAC ID: 5597864033 Enrollment ID: I20100802000447 |
| Provider Name | Alex Maese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952774523 PECOS PAC ID: 0244530756 Enrollment ID: I20151204000587 |
| Provider Name | Jossue Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871297754 PECOS PAC ID: 7618320441 Enrollment ID: I20240129002792 |
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