# HOME-BOUND-MED LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255197273
- **Authorized official:** JOANNA PENA (DIRECTOR)
- **Authorized official phone:** (915) 799-1782

## Contact information

- **Practice address:** 1701 BASSETT AVE STE 115, EL PASO, TX 79901-1801
- **Practice address phone:** (915) 799-1782
- **Practice address fax:** (915) 205-6909
- **Mailing address:** 6090 SURETY DR STE 420, EL PASO, TX 79905-2057
- **Mailing address phone:** (915) 303-9215
- **Mailing address fax:** (915) 218-6518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2024
- **Last updated:** 04/16/2024