Country Club Medical Center LLC
Country Club Medical Center LLC provides Internal Medicine Physician services in El Paso, Texas. Licensed in Texas. Registered with an NPI since 2014.
- Licensed in
- TX
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8041 N Mesa St Ste B-2El Paso, TX 79932-1735 Not confirmed with CMS for 11 years — call before visiting
Phone: (915) 474-2454
Fax: (915) 222-8895
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence J0549 (TX) |
|---|
Record details
| NPI number | 1508269523 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracy Short — Owner · (915) 474-2454 |
| NPI enumerated | October 4, 2014 |
| Last updated in NPPES | December 12, 2014 |
| Mailing address | 8041 N Mesa St, Suite B-2, El Paso, TX 79932-1735 |
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