| El Paso Primary Care Pllc | |
|
98 San Jacinto Boulevard Suite 1800 Horizon TX 79928-2222 | |
| (915) 217-2117 | |
| Not Available |
| Full Name | El Paso Primary Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 98 San Jacinto Boulevard, Horizon, Texas |
| Authorized Official Name and Position | John Rebok (VICE PRESIDENT) |
| Authorized Official Contact | 9152172117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Primary Care Pllc 98 San Jacinto Blvd Suite 1800 Austin TX 78701-4082 Ph: (915) 217-2117 | El Paso Primary Care Pllc 98 San Jacinto Boulevard Suite 1800 Horizon TX 79928-2222 Ph: (915) 217-2117 |
| NPI Number | 1528473493 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 06/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528473493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |