| Percy-charles Medical Center, P.a. | |
|
2200 N Lee Trevino Dr Ste A3 El Paso TX 79936-3419 | |
| (915) 594-2772 | |
| (915) 594-2774 |
| Full Name | Percy-charles Medical Center, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 N Lee Trevino Dr Ste A3, El Paso, Texas |
| Authorized Official Name and Position | Marie Percy (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 9155942772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Percy-charles Medical Center, P.a. 2200 N Lee Trevino Dr Ste A3 El Paso TX 79936-3419 Ph: (915) 594-2772 | Percy-charles Medical Center, P.a. 2200 N Lee Trevino Dr Ste A3 El Paso TX 79936-3419 Ph: (915) 594-2772 |
| NPI Number | 1508328196 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 07/08/2023 |
| Medicare PECOS PAC ID | 8729311683 |
|---|---|
| Medicare Enrollment ID | O20190607000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508328196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marie D Percy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013966837 PECOS PAC ID: 9931194255 Enrollment ID: I20040416000837 |
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