| Osvaldo Gaytan Jr., M.d., P.a. | |
|
1900 Denver Ave El Paso TX 79902-3008 | |
| (915) 544-4000 | |
| (915) 532-0733 |
| Full Name | Osvaldo Gaytan Jr., M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1900 Denver Ave, El Paso, Texas |
| Authorized Official Name and Position | Osvaldo Gaytan (PRESIDENT) |
| Authorized Official Contact | 9152010199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osvaldo Gaytan Jr., M.d., P.a. 1605 George Dieter Dr Ste 636 El Paso TX 79936-5692 Ph: (915) 671-1371 | Osvaldo Gaytan Jr., M.d., P.a. 1900 Denver Ave El Paso TX 79902-3008 Ph: (915) 544-4000 |
| NPI Number | 1295902641 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 5294801072 |
|---|---|
| Medicare Enrollment ID | O20080902000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295902641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Osvaldo Gaytan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346220043 PECOS PAC ID: 0840265997 Enrollment ID: I20081002000547 |
| Provider Name | Beatriz Carrillo Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538396924 PECOS PAC ID: 1658419098 Enrollment ID: I20091105000238 |
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