| Col. J. Ensor Middle School Clinic | |
|
13600 Ryderwood El Paso TX 79928 | |
| (915) 533-7057 | |
| (915) 533-7158 |
| Full Name | Col. J. Ensor Middle School Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 13600 Ryderwood, El Paso, Texas |
| Authorized Official Name and Position | William David Schlesinger (CEO) |
| Authorized Official Contact | 9155337057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Col. J. Ensor Middle School Clinic 3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 533-7057 | Col. J. Ensor Middle School Clinic 13600 Ryderwood El Paso TX 79928 Ph: (915) 533-7057 |
| NPI Number | 1164925046 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/25/2020 |
| Certification Date | 03/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164925046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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