| Westside Family Medicine | |
|
840 E Redd Rd Bldg 4 El Paso TX 79912-7221 | |
| (915) 577-9003 | |
| Not Available |
| Full Name | Westside Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 840 E Redd Rd, El Paso, Texas |
| Authorized Official Name and Position | Sandra Rocha (PRESIDENT) |
| Authorized Official Contact | 9155779003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Medicine 840 E Redd Rd Bldg 4 El Paso TX 79912-7221 Ph: (915) 577-9003 | Westside Family Medicine 840 E Redd Rd Bldg 4 El Paso TX 79912-7221 Ph: (915) 577-9003 |
| NPI Number | 1639223217 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 12/07/2007 |
| Medicare PECOS PAC ID | 8224068952 |
|---|---|
| Medicare Enrollment ID | O20050812000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639223217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1146 (Texas) | Primary |
| Provider Name | Sandra T Rocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518938687 PECOS PAC ID: 5496785131 Enrollment ID: I20101215000893 |
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