Provencio Enterprises Incorporated

LBN: Provencio Enterprises Incorporated
Provencio Enterprises Incorporated is an health care organization with primary practice located at 5380 N Mesa St Ste 108 , El Paso TX 79912-5869. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Provencio Enterprises Incorporated can be contacted via phone (915) 613-3989, or through Oaxaca, Griselda P via phone (915) 613-3989.

Contact Information

Primary practice address
5380 N Mesa St Ste 108 El Paso TX 79912-5869
Phone: (915) 613-3989
Fax: (915) 503-2737
Website:
Map and Directions
Authorized official contact:
Name: Oaxaca, Griselda P
Phone: (915) 613-3989

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1790260107
LBN Legal business name Provencio Enterprises Incorporated
DBA Doing business as
Authorized official Oaxaca, Griselda P
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2018
Last updated Oct 2nd, 2018 - about 6 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.

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