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Organization
SAN GABRIEL CLINICA
Active
Organization
SAN GABRIEL CLINICA
Active
Other names
GABRIEL PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL C ELEDA MSN, APRN, PMHNP-BC (OWNER OF ENTITY)
(432) 652-2548
Entity
Organization
Contact information
Practice address
710 S GREGG ST # 226, BIG SPRING, TX 79720-2425
(877) 654-9139
(877) 654-8335
Mailing address
1102 BUENA VISTA DR, BIG SPRING, TX 79720-1180
(877) 654-9139
(877) 654-8335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
09/14/2021
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