Otero, Milquella J
Otero, Milquella J is an individual health care provider with primary practice located at 6044 Gateway Blvd E Ste 405 , El Paso TX 79905-2037. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Otero, Milquella J can be contacted via phone (915) 779-5600.Contact Information
Primary practice address
6044 Gateway Blvd E Ste 405
El Paso TX 79905-2037
Phone: (915) 779-5600
Fax: (915) 779-5605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | T0098721 | New Mexico |
Profile Details
| NPI number | 1043336928 |
|---|---|
| LBN Legal business name | Otero, Milquella J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043336928 | NPPES |
| New Mexico | Other | VNM00241NI | NM MEDICAID |
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