| Project Vida | |
|
3607 Rivera Ave El Paso TX 79905-2415 | |
| (915) 757-0038 | |
| (915) 757-1640 |
| Full Name | Project Vida |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3607 Rivera Ave, El Paso, Texas |
| Authorized Official Name and Position | Josie L Mendez (ASSISTANT BUSINESS MANAGER) |
| Authorized Official Contact | 9157570038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Vida 3612 Pera Ave El Paso TX 79905-2412 Ph: (915) 533-7057 | Project Vida 3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 757-0038 |
| NPI Number | 1649411463 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649411463 | NPI | - | NPPES |
| PA03671 | Other | TX | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | PA03671 (Texas) | Primary |
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