| United Medical Walk-in Clinic, Pa | |
|
3101 Forney Ln El Paso TX 79935-1607 | |
| (915) 317-6033 | |
| (915) 595-2231 |
| Full Name | United Medical Walk-in Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3101 Forney Ln, El Paso, Texas |
| Authorized Official Name and Position | Manuel Borrego (PRESIDENT) |
| Authorized Official Contact | 9152408656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Medical Walk-in Clinic, Pa 3101 Forney Ln El Paso TX 79935-1607 Ph: (915) 240-8656 | United Medical Walk-in Clinic, Pa 3101 Forney Ln El Paso TX 79935-1607 Ph: (915) 317-6033 |
| NPI Number | 1609981018 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1759383235 |
|---|---|
| Medicare Enrollment ID | O20070213000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609981018 | NPI | - | NPPES |
| M3476 | Other | TX | TEXAS MEDICAL LICENSE |
| N0146239 | Other | TX DPS | |
| MD2005-0204 | Other | NM | NEW MEXICO MEDICAL LIC |
| 05922968 | Other | ECFMG NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3476 (Texas) | Primary |
| Provider Name | Manuel Borrego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962510578 PECOS PAC ID: 6103828686 Enrollment ID: I20070213000326 |
| Provider Name | Melida V Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245719319 PECOS PAC ID: 0345591384 Enrollment ID: I20181001002725 |
| Provider Name | Angel V Pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275175887 PECOS PAC ID: 4981028610 Enrollment ID: I20200728000649 |
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