Mt West Health Center Pa | |
6151 Dew Dr Ste 410 El Paso TX 79912-3912 | |
(915) 584-8124 | |
(915) 584-8546 |
Full Name | Mt West Health Center Pa |
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Speciality | Family Medicine |
Location | 6151 Dew Dr Ste 410, El Paso, Texas |
Authorized Official Name and Position | Luis A Villalobos (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9155847920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mt West Health Center Pa Po Box 13203 El Paso TX 79913-3203 Ph: (915) 217-2793 | Mt West Health Center Pa 6151 Dew Dr Ste 410 El Paso TX 79912-3912 Ph: (915) 584-8124 |
NPI Number | 1720098700 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 12/02/2024 |
Medicare PECOS PAC ID | 5698877314 |
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Medicare Enrollment ID | O20070628000265 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720098700 | NPI | - | NPPES |
079714401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Victor M Villalobos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811979867 PECOS PAC ID: 9436102605 Enrollment ID: I20050301000276 |
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