New Light Primary Care Pa | |
3615 Rutherglen St El Paso TX 79925-1416 | |
(915) 772-5400 | |
(915) 772-5402 |
Full Name | New Light Primary Care Pa |
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Speciality | Family Medicine |
Location | 3615 Rutherglen St, El Paso, Texas |
Authorized Official Name and Position | Martha Manquero-butler (PRESIDENT) |
Authorized Official Contact | 9157725400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Light Primary Care Pa 3615 Rutherglen St El Paso TX 79925-1416 Ph: (915) 772-5400 | New Light Primary Care Pa 3615 Rutherglen St El Paso TX 79925-1416 Ph: (915) 772-5400 |
NPI Number | 1508183385 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 5991838997 |
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Medicare Enrollment ID | O20100728000051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508183385 | NPI | - | NPPES |
TXB104258 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James R Loflin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1447240429 PECOS PAC ID: 4880674472 Enrollment ID: I20040723000497 |
Provider Name | Martha I Manquero Butler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255398293 PECOS PAC ID: 6103898580 Enrollment ID: I20040806000704 |
Provider Name | Jaime Holberton Square |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205046752 PECOS PAC ID: 4587754270 Enrollment ID: I20071218000556 |
Provider Name | Robert Michael Kaufman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174574537 PECOS PAC ID: 9931271731 Enrollment ID: I20110131000809 |
Provider Name | Maria G Rojas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255335709 PECOS PAC ID: 0143489559 Enrollment ID: I20120305000225 |
Provider Name | Gerardo Anaya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013244243 PECOS PAC ID: 7810133923 Enrollment ID: I20130416000416 |
Provider Name | Mariko Ward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104170885 PECOS PAC ID: 8820235013 Enrollment ID: I20130507000390 |
Provider Name | Nicholas J Bonilla |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659742443 PECOS PAC ID: 6305147596 Enrollment ID: I20151211001943 |
Provider Name | Lauren S Hasbrouck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982069498 PECOS PAC ID: 8224333745 Enrollment ID: I20160222001478 |
Provider Name | Rosa I Zamora |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336501352 PECOS PAC ID: 4587955679 Enrollment ID: I20160621001067 |
Provider Name | Ivonne Velazquez De Rosales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629521968 PECOS PAC ID: 3971899022 Enrollment ID: I20160915002079 |
Provider Name | Brenda Dungan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972045680 PECOS PAC ID: 3678853686 Enrollment ID: I20161209000160 |
Provider Name | Juan Guillermo Becerra |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679967640 PECOS PAC ID: 2567796022 Enrollment ID: I20190807000669 |
Provider Name | Rickie J Soberanes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538703178 PECOS PAC ID: 8729412119 Enrollment ID: I20191217002439 |
Provider Name | Aurora Quintana |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174156434 PECOS PAC ID: 1850717604 Enrollment ID: I20200811003388 |
Provider Name | Esteban Sanchez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437279817 PECOS PAC ID: 4981783891 Enrollment ID: I20220411000296 |
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