| Desert Soaring Eagle | |
|
1348 Belvidere St El Paso TX 79912-1831 | |
| (575) 502-4241 | |
| Not Available |
| Full Name | Desert Soaring Eagle |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1348 Belvidere St, El Paso, Texas |
| Authorized Official Name and Position | Patrick J Ryan (CO-OWNER) |
| Authorized Official Contact | 5755024241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Soaring Eagle 1348 Belvidere St El Paso TX 79912-1831 Ph: (575) 502-4241 | Desert Soaring Eagle 1348 Belvidere St El Paso TX 79912-1831 Ph: (575) 502-4241 |
| NPI Number | 1962103986 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962103986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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