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Organization
TERESA R PINAROC MD PA
Active
Organization
TERESA R PINAROC MD PA
Active
Other names
SUN VALLEY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA RUBIO PINAROC M.D. (PRESIDENT)
(915) 613-3741
Entity
Organization
Contact information
Practice address
11548 VISTA DEL SOL DR, EL PASO, TX 79936
(915) 613-3741
(915) 594-0566
Mailing address
PO BOX 961509, EL PASO, TX 79996-1509
(915) 613-3741
(915) 594-0566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022JL
BLUE CROSS BLUE SHIELD TX
TX
01
—
08390465
EL PASO FIRST HEALTH PLAN
TX
01
—
110244615
RAILROAD MEDICARE
TX
05
—
154040301
—
TX
01
—
5916252
AETNA
TX
01
—
8A0578
MEDICARE,INDIVIDUAL
TX
Enumeration date
11/01/2005
Last updated
02/14/2011
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