| El Paso Family Medicine And Mental Health Clinic Pllc | |
|
8929 Viscount Blvd Ste Llb El Paso TX 79925-5827 | |
| (915) 289-2100 | |
| (915) 289-2104 |
| Full Name | El Paso Family Medicine And Mental Health Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8929 Viscount Blvd Ste Llb, El Paso, Texas |
| Authorized Official Name and Position | Kristan L Bannister (PRESIDENT) |
| Authorized Official Contact | 9152892100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Family Medicine And Mental Health Clinic Pllc 8929 Viscount Blvd Ste Llb El Paso TX 79925-5827 Ph: (915) 289-2100 | El Paso Family Medicine And Mental Health Clinic Pllc 8929 Viscount Blvd Ste Llb El Paso TX 79925-5827 Ph: (915) 289-2100 |
| NPI Number | 1942049291 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 7810429719 |
|---|---|
| Medicare Enrollment ID | O20241016004392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942049291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 364SP0813X | Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric | (* (Not Available)) | Secondary |
| Provider Name | Kristan Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093339178 PECOS PAC ID: 0345667945 Enrollment ID: I20200827002132 |
| Provider Name | Claudia Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134773286 PECOS PAC ID: 5496173627 Enrollment ID: I20200921000040 |
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