| Amanecer Psychological Services | |
|
6044 Gateway East Suite 405 El Paso TX 79905 | |
| (915) 779-5600 | |
| (915) 779-5605 |
| Full Name | Amanecer Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 6044 Gateway East, El Paso, Texas |
| Authorized Official Name and Position | Rodolfo Basurto (PRESIDENT) |
| Authorized Official Contact | 9157795600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanecer Psychological Services 6044 Gateway East Suite 405 El Paso TX 79905 Ph: (915) 779-5600 | Amanecer Psychological Services 6044 Gateway East Suite 405 El Paso TX 79905 Ph: (915) 779-5600 |
| NPI Number | 1356435903 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356435903 | NPI | - | NPPES |
| 0046HQ | Other | TX | BCBS OF TEXAS |
| NM600035 | Other | NM | NM MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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