| Radu Ciubuc Md Pa | |
|
1810 Murchison Dr El Paso TX 79902-2930 | |
| (915) 217-2163 | |
| (915) 217-2166 |
| Full Name | Radu Ciubuc Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1810 Murchison Dr, El Paso, Texas |
| Authorized Official Name and Position | Radu Ciubuc (PRESIDENT/OWNER) |
| Authorized Official Contact | 9152172163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radu Ciubuc Md Pa 1810 Murchison Dr 100 El Paso TX 79902-2930 Ph: (915) 217-2163 | Radu Ciubuc Md Pa 1810 Murchison Dr El Paso TX 79902-2930 Ph: (915) 217-2163 |
| NPI Number | 1073954756 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/12/2013 |
| Medicare PECOS PAC ID | 4183858384 |
|---|---|
| Medicare Enrollment ID | O20131001000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073954756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | K0685 (Texas) | Primary |
| Provider Name | Radu Ion Aurel Ciubuc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568477321 PECOS PAC ID: 3971406208 Enrollment ID: I20040202000566 |
| Provider Name | Crystal Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366828543 PECOS PAC ID: 1759691124 Enrollment ID: I20151116000451 |
| Provider Name | Angela M Wooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649762394 PECOS PAC ID: 1153674148 Enrollment ID: I20181113000874 |
| Provider Name | Amber Leigh Rutkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164027272 PECOS PAC ID: 5193123354 Enrollment ID: I20211004000038 |
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