| Gamut Medical Group Pa | |
|
8524 Mountain Ash Dr El Paso TX 79904-2442 | |
| (915) 783-8162 | |
| (915) 351-6601 |
| Full Name | Gamut Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8524 Mountain Ash Dr, El Paso, Texas |
| Authorized Official Name and Position | Ulysses Urquidi (PRESIDENT) |
| Authorized Official Contact | 9157838162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gamut Medical Group Pa 8524 Mountain Ash Dr El Paso TX 79904-2442 Ph: (915) 783-8162 | Gamut Medical Group Pa 8524 Mountain Ash Dr El Paso TX 79904-2442 Ph: (915) 783-8162 |
| NPI Number | 1790083012 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Medicare PECOS PAC ID | 4385821685 |
|---|---|
| Medicare Enrollment ID | O20110615000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790083012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4774 (Texas) | Primary |
| Provider Name | Ulysses Urquidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245288109 PECOS PAC ID: 7012938087 Enrollment ID: I20051219000303 |
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