institution
Injury Medical Clinic Pa
Preferred Provider Organization in El Paso, Texas
NPI 1972794147

Injury Medical Clinic Pa is a Preferred Provider Organization based in El Paso, TX. Injury Medical Clinic Pa practices in El Paso, TX. The NPI Number for Injury Medical Clinic Pa is 1972794147 and holds a License No. (Texas).

The current practice location address for Injury Medical Clinic Pa is 11860 Vista Del Sol Dr # 128, El Paso, TX and can be reached out via phone at 915-413-6677 and via fax at 866-574-1351.

Location: 11860 Vista Del Sol Dr # 128, El Paso, TX, 79936-6128
institution
Provider Profile Details
NPI Number
1972794147
Provider Name
Injury Medical Clinic Pa
Credential
Provider Entity Type
Organization
Address
11860 Vista Del Sol Dr # 128, El Paso, TX, 79936-6128
Phone Number
915-413-6677
Fax Number
866-574-1351
Provider Enumeration Date
08/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8C0040 01 TX BCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
11860 Vista Del Sol Dr # 128
City
State
Zip
79936-6128
Phone Number
915-413-6677
Fax Number
866-574-1351
person
Provider Business Mailing Address Details
Address
11860 Vista Del Sol Dr # 128
City
State
Zip
79936-6128
Phone Number
915-413-6677
Fax Number
866-574-1351
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
DC5807 (Texas)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
License No.
()
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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