Pebble Hills Family Clinic Pllc | |
2260 N Zaragoza Rd El Paso TX 79938-8123 | |
(915) 532-0010 | |
Not Available |
Full Name | Pebble Hills Family Clinic Pllc |
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Speciality | Family Medicine |
Location | 2260 N Zaragoza Rd, El Paso, Texas |
Authorized Official Name and Position | Princess K Ahedor (CEO) |
Authorized Official Contact | 9153132944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pebble Hills Family Clinic Pllc 2712 Tierra Murcia St El Paso TX 79938-2220 Ph: (915) 532-0010 | Pebble Hills Family Clinic Pllc 2260 N Zaragoza Rd El Paso TX 79938-8123 Ph: (915) 532-0010 |
NPI Number | 1851059091 |
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Provider Enumeration Date | 12/06/2021 |
Last Update Date | 12/06/2021 |
Medicare PECOS PAC ID | 6507230398 |
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Medicare Enrollment ID | O20230317001018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851059091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Princess K Ahedor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215401906 PECOS PAC ID: 6103165980 Enrollment ID: I20190222002456 |
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