| Transmountain Primary Care, Pa | |
|
13001 Eastlake Blvd Ste 105 El Paso TX 79928-6312 | |
| (915) 248-2345 | |
| (915) 271-4412 |
| Full Name | Transmountain Primary Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 13001 Eastlake Blvd Ste 105, El Paso, Texas |
| Authorized Official Name and Position | Jose A Marin (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 9152482345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transmountain Primary Care, Pa 13001 Eastlake Blvd Ste 105 El Paso TX 79928-6312 Ph: (152) 482-3459 | Transmountain Primary Care, Pa 13001 Eastlake Blvd Ste 105 El Paso TX 79928-6312 Ph: (915) 248-2345 |
| NPI Number | 1891235370 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/20/2023 |
| Medicare PECOS PAC ID | 6305114539 |
|---|---|
| Medicare Enrollment ID | O20170613000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891235370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Jose M Mendez Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841498375 PECOS PAC ID: 3678752813 Enrollment ID: I20110120000540 |
| Provider Name | Nora G Regalado Vera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992024699 PECOS PAC ID: 1355584723 Enrollment ID: I20130904000430 |
| Provider Name | Lorena S Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871022137 PECOS PAC ID: 2567734387 Enrollment ID: I20170814002662 |
| Provider Name | Mirabelle Nofeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003323015 PECOS PAC ID: 9335402650 Enrollment ID: I20180418001653 |
| Provider Name | Janice Angelina Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952878530 PECOS PAC ID: 6608114830 Enrollment ID: I20190214000681 |
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