| Mind Forward Health Center, Pllc | |
|
2150 Trawood Dr Ste B161 El Paso TX 79935-3322 | |
| (915) 832-1702 | |
| (915) 666-4409 |
| Full Name | Mind Forward Health Center, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2150 Trawood Dr Ste B161, El Paso, Texas |
| Authorized Official Name and Position | Viridiana Ortiz (OWNER) |
| Authorized Official Contact | 9158321702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Forward Health Center, Pllc 2150 Trawood Dr Ste B161 El Paso TX 79935-3322 Ph: (915) 832-1702 | Mind Forward Health Center, Pllc 2150 Trawood Dr Ste B161 El Paso TX 79935-3322 Ph: (915) 832-1702 |
| NPI Number | 1427780253 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 8527437631 |
|---|---|
| Medicare Enrollment ID | O20221213000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427780253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Viridiana Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225591472 PECOS PAC ID: 8820323165 Enrollment ID: I20190710000029 |
| Provider Name | Roberto Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215347695 PECOS PAC ID: 3476803800 Enrollment ID: I20230112000487 |
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