| Palliative Coalition Pllc | |
|
2121 Wyoming Ave El Paso TX 79903-3508 | |
| (915) 307-4669 | |
| Not Available |
| Full Name | Palliative Coalition Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2121 Wyoming Ave, El Paso, Texas |
| Authorized Official Name and Position | Jose Burgos (OWNER) |
| Authorized Official Contact | 9153074669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palliative Coalition Pllc 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Palliative Coalition Pllc 2121 Wyoming Ave El Paso TX 79903-3508 Ph: (915) 307-4669 |
| NPI Number | 1649059700 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 8325482078 |
|---|---|
| Medicare Enrollment ID | O20240221001383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649059700 | NPI | - | NPPES |
| Provider Name | Jose D Burgos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245437425 PECOS PAC ID: 9335279249 Enrollment ID: I20100618000484 |
| Provider Name | Adam C Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447693585 PECOS PAC ID: 1456638758 Enrollment ID: I20170515000073 |
| Provider Name | Juan Guillermo Becerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679967640 PECOS PAC ID: 2567796022 Enrollment ID: I20190807000669 |
| Provider Name | Monica D Cepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053061804 PECOS PAC ID: 5799162368 Enrollment ID: I20220520000161 |
| Provider Name | Fernando Moran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619321924 PECOS PAC ID: 1254629413 Enrollment ID: I20220727000451 |
| Provider Name | Luis David Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154065951 PECOS PAC ID: 5193108611 Enrollment ID: I20220816003944 |
| Provider Name | Graciela Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649957820 PECOS PAC ID: 3678927225 Enrollment ID: I20230929002994 |
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