Organization · NPI-2

1st Med, PLLC

Family Medicine · El Paso, TX

NPI number1780315424
StatusActive
Last updated in NPPESJul 15, 2022

Details

NPI
1780315424
Entity type
Organization (NPI-2)
Legal business name
1st Med, PLLC
Organization subpart
No
Enumeration date
Jun 23, 2022
Certification date
Jul 15, 2022
Last updated
Jul 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

9411 Dyer St Ste B
El Paso, TX 79924-6407

Phone 915-250-0007

Mailing address

9411 Dyer St Ste B
El Paso, TX 79924-6407

Phone 915-250-0007

Authorized official

Caleb Janosz
President
9152500007

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