Providence Service Corporation
Providence Service Corporation is an Exclusive Provider Organization in El Paso, Texas. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2211 E Missouri Ave E243El Paso, TX 79903-3807
Phone: (915) 545-8137
Fax: (915) 838-1772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1447404082 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Wallace — State Executive Director · (512) 343-8606 |
| NPI enumerated | November 10, 2008 |
| Last updated in NPPES | November 10, 2008 |
| Mailing address | 2211 E Missouri Ave, E243, El Paso, TX 79903-3807 |
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