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Organization
PBC MEDI GROUP LLC
Active
Organization
PBC MEDI GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO ENRIQUEZ (MANAGER)
(915) 269-9150
Entity
Organization
Contact information
Practice address
121 PARAGON LN STE C, EL PASO, TX 79912-6315
(915) 545-2525
(915) 544-0962
Mailing address
121 PARAGON LN STE C, EL PASO, TX 79912-6315
(915) 545-2525
(915) 544-0962
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
Primary
—
NULL
Other
Enumeration date
10/04/2022
Last updated
02/15/2024
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