# EL PASO ADVANCE PRACTICE PROVIDER, PLLC

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

## Provider details

- **NPI number:** 1285133512
- **Authorized official:** TARON TARAY PEEBLES ANP (CEO)
- **Authorized official phone:** (915) 532-2477

## Contact information

- **Practice address:** 5080 POWDER RIVER LN, EL PASO, TX 79938-8286
- **Practice address phone:** (915) 328-2311
- **Mailing address:** 1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5600
- **Mailing address phone:** (915) 671-1371
- **Mailing address fax:** (915) 219-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | 121725 | TX | Yes |

## Other

- **Enumeration date:** 02/01/2018
- **Last updated:** 06/06/2024