| Mountain View High School | |
|
14964 Greg Dr El Paso TX 79938-9213 | |
| (915) 465-1191 | |
| Not Available |
| Full Name | Mountain View High School |
|---|---|
| Speciality | Clinic/Center |
| Location | 14964 Greg Dr, El Paso, Texas |
| Authorized Official Name and Position | William David Schlesinger (CEO) |
| Authorized Official Contact | 9155337057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View High School 3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 465-1191 | Mountain View High School 14964 Greg Dr El Paso TX 79938-9213 Ph: (915) 465-1191 |
| NPI Number | 1639810740 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Medicare PECOS PAC ID | 4486614765 |
|---|---|
| Medicare Enrollment ID | O20230213001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639810740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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