| Ysleta Del Sur Pueblo | |
|
9473 Socorro Rd El Paso TX 79907-6832 | |
| (915) 858-1076 | |
| (915) 860-6166 |
| Full Name | Ysleta Del Sur Pueblo |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 9473 Socorro Rd, El Paso, Texas |
| Authorized Official Name and Position | Martin Lopez (DIRECTOR) |
| Authorized Official Contact | 9158581076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ysleta Del Sur Pueblo 9314 Juanchido Ln Ysleta Del Sur Pueblo TX 79907-6832 Ph: (915) 860-6124 | Ysleta Del Sur Pueblo 9473 Socorro Rd El Paso TX 79907-6832 Ph: (915) 858-1076 |
| NPI Number | 1891177655 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891177655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1603-1603A (Texas) | Secondary |
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
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