| Jorge Adrian Mancilla, NP | |
|
2400 Trawood Dr, El Paso, TX 79936-4168 | |
| (915) 599-6735 | |
| Not Available |
| Full Name | Jorge Adrian Mancilla |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2400 Trawood Dr, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013665926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1072619 (Texas) | Primary |
| Entity Name | El Paso Community Mhmr |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649345869 PECOS PAC ID: 3476532383 Enrollment ID: O20050802001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Adrian Mancilla, NP 201 E Main Dr Ste 600, El Paso, TX 79901-1385 Ph: (915) 887-3410 | Jorge Adrian Mancilla, NP 2400 Trawood Dr, El Paso, TX 79936-4168 Ph: (915) 599-6735 |
Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875 | |
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13001 Easlake Blvd, Suite 105, El Paso, TX 79928 Phone: 915-248-2345 Fax: 915-271-4412 | |
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632 | |
Sarah Backof, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12201 Montwood Dr, El Paso, TX 79938 Phone: 915-444-5460 Fax: 915-225-3745 | |
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410 | |
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461 | |
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000 |