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Organization
GREEN MOUNTAIN VISITING PHYSICIANS AND ASSOCIATES
Active
Organization
GREEN MOUNTAIN VISITING PHYSICIANS AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO FLORES (ADMINISTRATOR/CEO/CFO)
(915) 276-0865
Entity
Organization
Contact information
Practice address
2311 N MESA ST STE H, EL PASO, TX 79902-3575
(915) 500-4883
(915) 275-5510
Mailing address
2311 N MESA ST STE H, EL PASO, TX 79902-3575
(915) 500-4883
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
NULL
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
NULL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
Other
Enumeration date
10/05/2020
Last updated
12/01/2022
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