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Organization
PASITOS CLINIC, LLC
Active
Organization
PASITOS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HILDA SORIANO MCCUE (FINANCIAL ADMINISTRATOR)
(915) 307-7612
Entity
Organization
Contact information
Practice address
406 CHELSEA ST, EL PASO, TX 79905-1708
(915) 307-7612
(915) 307-7619
Mailing address
406 CHELSEA ST, EL PASO, TX 79905-1708
(915) 307-7612
(915) 307-7619
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341184501
—
TX
Enumeration date
11/15/2012
Last updated
01/16/2018
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