El Paso Advance Practice Provider, Pllc
LBN: El Paso Advance Practice Provider, Pllc
El Paso Advance Practice Provider, Pllc is an health care organization with primary practice located at 5080 Powder River Ln , El Paso TX 79938-8286. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Secured Medical Transport (VAN), Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is the primary health care specialty.
El Paso Advance Practice Provider, Pllc can be contacted via phone (915) 328-2311, or through Peebles, Taron Taray via phone (915) 532-2477.
Contact Information
Primary practice address
5080 Powder River Ln
El Paso TX 79938-8286
Phone: (915) 328-2311
Fax:
Website:
Authorized official contact:
Name: Peebles, Taron Taray Adult Nurse Practitioner (ANP)
Phone: (915) 532-2477
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Secured Medical Transport (VAN) | 343800000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 121725 | Texas |
Profile Details
| NPI number | 1285133512 |
|---|---|
| LBN Legal business name | El Paso Advance Practice Provider, Pllc |
| DBA Doing business as | |
| Authorized official | Peebles, Taron Taray Adult Nurse Practitioner (ANP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2018 |
| Last updated | Jun 6th, 2024 - about last year |
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 | 1285133512 | NPPES |
| Texas | MEDICAID | 1437423696 |
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