| West Texas Treatment Center | |
|
1790 N Lee Trevino Dr #203 El Paso TX 79936-4545 | |
| (915) 613-0030 | |
| (915) 594-7101 |
| Full Name | West Texas Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1790 N Lee Trevino Dr, El Paso, Texas |
| Authorized Official Name and Position | Samuel Lee Marcel (OWNER/LPC) |
| Authorized Official Contact | 9156130030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Texas Treatment Center 1790 N Lee Trevino Dr #203 El Paso TX 79936-4545 Ph: (915) 613-0030 | West Texas Treatment Center 1790 N Lee Trevino Dr #203 El Paso TX 79936-4545 Ph: (915) 613-0030 |
| NPI Number | 1740469634 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740469634 | NPI | - | NPPES |
| B1048075 UPIN | Other | TX | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 18932 (Texas) | Primary |
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