Organization
EDWARD C. JUAREZ, MD, PA
Active
Other names
Eastside Medical Care Center, PA
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE JUAREZ (ADMINISTRATOR)
(915) 842-0504
Entity
Organization
Contact information
Practice address
1721 N LEE TREVINO DR, EL PASO, TX 79936-4521
(915) 590-9424
(915) 590-9049
Mailing address
PO BOX 12520, EL PASO, TX 79913-0520
(915) 842-0504
(915) 842-0448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0858375-01
—
TX
01
—
CD3874
PALMETTO GBA
TX
05
—
L0399
—
NM
Enumeration date
12/28/2005
Last updated
12/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us