# SAN GABRIEL CLINICA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GABRIEL PSYCHIATRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154094936
- **Authorized official:** GABRIEL C ELEDA MSN, APRN, PMHNP-BC (OWNER OF ENTITY)
- **Authorized official phone:** (432) 652-2548

## Contact information

- **Practice address:** 710 S GREGG ST \# 226, BIG SPRING, TX 79720-2425
- **Practice address phone:** (877) 654-9139
- **Practice address fax:** (877) 654-8335
- **Mailing address:** 1102 BUENA VISTA DR, BIG SPRING, TX 79720-1180
- **Mailing address phone:** (877) 654-9139
- **Mailing address fax:** (877) 654-8335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 09/14/2021