| Mobilemed, Pllc | |
|
10657 Vista Del Sol Dr Ste E El Paso TX 79935-4504 | |
| (915) 351-6600 | |
| Not Available |
| Full Name | Mobilemed, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10657 Vista Del Sol Dr Ste E, El Paso, Texas |
| Authorized Official Name and Position | Jose Burges (OWNER) |
| Authorized Official Contact | 9153074669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobilemed, Pllc 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Mobilemed, Pllc 10657 Vista Del Sol Dr Ste E El Paso TX 79935-4504 Ph: (915) 351-6600 |
| NPI Number | 1013553874 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 0446685051 |
|---|---|
| Medicare Enrollment ID | O20200108001425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013553874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose D Burgos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245437425 PECOS PAC ID: 9335279249 Enrollment ID: I20100618000484 |
| Provider Name | Nidia Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831439736 PECOS PAC ID: 6103191291 Enrollment ID: I20170928002697 |
| Provider Name | Lucia Eunice Godinez Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164919593 PECOS PAC ID: 0648520932 Enrollment ID: I20180907000110 |
| Provider Name | Anthony Viscon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447809884 PECOS PAC ID: 5799113189 Enrollment ID: I20200318001336 |
| Provider Name | Rene Christopher Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871187260 PECOS PAC ID: 7911313754 Enrollment ID: I20210303000519 |
| Provider Name | Monica D Cepeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053061804 PECOS PAC ID: 5799162368 Enrollment ID: I20220520000161 |
| Provider Name | Luis David Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154065951 PECOS PAC ID: 5193108611 Enrollment ID: I20220816003944 |
| Provider Name | Ezhil Panneerselvam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235794546 PECOS PAC ID: 1355707589 Enrollment ID: I20230515000763 |
| Provider Name | Christian Lechuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659010775 PECOS PAC ID: 9931543469 Enrollment ID: I20240222003745 |
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