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Organization
EL PASO ADVANCE PRACTICE PROVIDER, PLLC
Active
Organization
EL PASO ADVANCE PRACTICE PROVIDER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARON TARAY PEEBLES ANP (CEO)
(915) 532-2477
Entity
Organization
Contact information
Practice address
5080 POWDER RIVER LN, EL PASO, TX 79938-8286
(915) 328-2311
Mailing address
1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5600
(915) 671-1371
(915) 219-9022
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
NULL
363LA2100X
Acute Care Nurse Practitioner
Primary
121725
TX
Other
Enumeration date
02/01/2018
Last updated
06/06/2024
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