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:
Map and Directions
Authorized official contact:
Name: Peebles, Taron Taray Adult Nurse Practitioner (ANP)
Phone: (915) 532-2477

Health care specialties

SpecialtyCodeLicense #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 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285133512 NPPES
Texas MEDICAID 1437423696

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