| Blum Health Pllc | |
|
600 Sunland Park Dr Ste 1-400 El Paso TX 79912-5135 | |
| (915) 490-7491 | |
| Not Available |
| Full Name | Blum Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Sunland Park Dr Ste 1-400, El Paso, Texas |
| Authorized Official Name and Position | Laura Alcantar (FNP) |
| Authorized Official Contact | 9154907491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blum Health Pllc 11988 Paseo Del Rey Dr El Paso TX 79936-3787 Ph: (915) 490-7491 | Blum Health Pllc 600 Sunland Park Dr Ste 1-400 El Paso TX 79912-5135 Ph: (915) 490-7491 |
| NPI Number | 1891392437 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 3779943063 |
|---|---|
| Medicare Enrollment ID | O20230718003604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891392437 | NPI | - | NPPES |
| 1417346693 | Other | TX | NPI |
| 1811367220 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Laura Estela Alcantar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417346693 PECOS PAC ID: 3173829801 Enrollment ID: I20160307001954 |
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