| Community Medical Clinic Pa | |
|
3130 N Lee Trevino Dr Ste 114 El Paso TX 79936 | |
| (915) 706-4065 | |
| (915) 706-7064 |
| Full Name | Community Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3130 N Lee Trevino Dr Ste 114, El Paso, Texas |
| Authorized Official Name and Position | Hector Lopez (OWNER) |
| Authorized Official Contact | 9157064065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Clinic Pa 3130 N Lee Trevino Dr Ste 114 El Paso TX 79936-2179 Ph: (915) 706-4065 | Community Medical Clinic Pa 3130 N Lee Trevino Dr Ste 114 El Paso TX 79936 Ph: (915) 706-4065 |
| NPI Number | 1154638690 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154638690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F9752 (Texas) | Primary |
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