| Fmuc, PLLC | |
|
6000 Northern Pass Dr Ste A100 El Paso TX 79911-7207 | |
| (915) 264-1830 | |
| (915) 264-1840 |
| Full Name | Fmuc, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6000 Northern Pass Dr Ste A100, El Paso, Texas |
| Authorized Official Name and Position | Eribeth K Penaranda (PRESIDENT) |
| Authorized Official Contact | 9152641830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmuc, PLLC 6000 Northern Pass Dr Ste A100 El Paso TX 79911-7207 Ph: (915) 264-1830 | Fmuc, PLLC 6000 Northern Pass Dr Ste A100 El Paso TX 79911-7207 Ph: (915) 264-1830 |
| NPI Number | 1225568330 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 6103191978 |
|---|---|
| Medicare Enrollment ID | O20171004000976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225568330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M8245 (Texas) | Primary |
| Provider Name | Eribeth K Penaranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548480312 PECOS PAC ID: 7113012386 Enrollment ID: I20080611000231 |
| Provider Name | Marco Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104015577 PECOS PAC ID: 7517019607 Enrollment ID: I20090721000592 |
| Provider Name | Lisa Michelle Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225570369 PECOS PAC ID: 1153601778 Enrollment ID: I20161216000903 |
| Provider Name | John Mcclusky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588062939 PECOS PAC ID: 5496238206 Enrollment ID: I20260310003966 |
| Provider Name | Martin Burciaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013686542 PECOS PAC ID: 1850762758 Enrollment ID: I20260320003504 |
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