Salus Primary Care Pllc | |
154 N Festival Dr # Villag El Paso TX 79912-6266 | |
(915) 209-0311 | |
(915) 845-4019 |
Full Name | Salus Primary Care Pllc |
---|---|
Speciality | Internal Medicine |
Location | 154 N Festival Dr # Villag, El Paso, Texas |
Authorized Official Name and Position | Lauro I Ortega (PRESIDENT) |
Authorized Official Contact | 9158454024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Salus Primary Care Pllc 154 N Festival Dr # Villag El Paso TX 79912-6266 Ph: (915) 209-0311 | Salus Primary Care Pllc 154 N Festival Dr # Villag El Paso TX 79912-6266 Ph: (915) 209-0311 |
NPI Number | 1013793439 |
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Provider Enumeration Date | 09/01/2023 |
Last Update Date | 09/15/2023 |
Medicare PECOS PAC ID | 6709231442 |
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Medicare Enrollment ID | O20231016001614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013793439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lauro Ivan Ortega |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467890772 PECOS PAC ID: 1850687799 Enrollment ID: I20161222000013 |
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