Eastside Medical Care Center, Pa
LBN: Edward C. Juarez, Md, Pa
Eastside Medical Care Center, Pa is an health care organization with primary practice located at 1721 N Lee Trevino Dr , El Paso TX 79936-4521. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Edward C. Juarez, Md, Pa can be contacted via phone (915) 590-9424, or through Juarez, Laurence via phone (915) 842-0504.
Contact Information
Primary practice address
1721 N Lee Trevino Dr
El Paso TX 79936-4521
Phone: (915) 590-9424
Fax: (915) 590-9049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1255318630 |
|---|---|
| LBN Legal business name | Edward C. Juarez, Md, Pa |
| DBA Doing business as | Eastside Medical Care Center, Pa |
| Authorized official | Juarez, Laurence |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Dec 19th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255318630 | NPPES |
| New Mexico | MEDICAID | L0399 | |
| New Mexico | Other | CD3874 | |
| New Mexico | MEDICAID | 0858375-01 |
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