| Eastside Family Care Center Inc | |
|
1671 N Zaragoza Rd Ste B El Paso TX 79936-8058 | |
| (915) 996-5210 | |
| (915) 213-5296 |
| Full Name | Eastside Family Care Center Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1671 N Zaragoza Rd Ste B, El Paso, Texas |
| Authorized Official Name and Position | Joe F Tittle (DIRECTOR) |
| Authorized Official Contact | 9152043562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Family Care Center Inc 1742 N Zaragoza Rd Ste A El Paso TX 79936-7969 Ph: (915) 204-3562 | Eastside Family Care Center Inc 1671 N Zaragoza Rd Ste B El Paso TX 79936-8058 Ph: (915) 996-5210 |
| NPI Number | 1770973414 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 10/10/2018 |
| Medicare PECOS PAC ID | 5698094548 |
|---|---|
| Medicare Enrollment ID | O20150428000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770973414 | NPI | - | NPPES |
| Provider Name | Oscar M Aguilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295732592 PECOS PAC ID: 9830009216 Enrollment ID: I20040524000998 |
| Provider Name | Joe F Tittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881620482 PECOS PAC ID: 9537123856 Enrollment ID: I20041116001306 |
| Provider Name | Claudia Lizeth Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568812238 PECOS PAC ID: 1658630744 Enrollment ID: I20180118000183 |
| Provider Name | Katherine Dorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336601210 PECOS PAC ID: 4688917537 Enrollment ID: I20190517000077 |
| Provider Name | Norma Jacquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013593029 PECOS PAC ID: 5193134807 Enrollment ID: I20210511000159 |
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