MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D. (NPI# 1336121490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336121490 |
| Entity Type | Organization |
| Organization Name | MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D. |
| Practice Address |
2415 Montana Ave El Paso TX 79903-3605 |
| Practice Telephone | 9155333353 |
| Practice Fax Number | 9155444353 |
| Mailing Telephone | 9155333353 |
| Mailing Fax Number | 9155444353 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | DR. MANUEL HERNANDEZ (NUEROPHYCHIATRY - GENERAL PRACTICE) |
| Authorized Official Telephone | 9155333353 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | C5088 | TX | Managed Care Organizations |
| Street Address |
2415 MONTANA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79903-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134322241 | Manuel Hernandez | Specialist | 2415 Montana Ave, El Paso, TX 79903-3605 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447757562 | Jacqueline J. Pantoja | Behavior Technician | 4100 Cumberland Ave, El Paso, TX 79903 | 2018-04-06 |
| 1891207718 | Luna Tierra Casa De Partos | Midwife | 4130 Hueco Ave., El Paso, TX 79903 | 2017-11-01 |
| 1275982415 | James Blanco I | Counselor | 6000 Welch #15, El Paso, TX 79903 | 2016-06-08 |
| 1902269426 | Mayra Gaona | Contractor | 3431 Pershing Dr. Ste D1, El Paso, TX 79903 | 2016-04-01 |
| 1164777918 | Silvia Elena Marrufo | Chiropractor | 2601 E Yandell Dr Ste 223, El Paso, TX 79903 | 2012-07-18 |
| 1992062335 | Claudia Marie Yagel | Occupational Therapist | 2429 Montanna Ave, #a, El Paso, TX 79903 | 2012-04-23 |
| 1801164199 | Kavita Bhakta | Pharmacist | 2879 Montana, El Paso, TX 79903 | 2011-12-01 |
| 1396032074 | Oscar Arteaga | Community/Behavioral Health | 4664 Caples Cir, El Paso, TX 79903 | 2011-07-01 |
| 1487977716 | William Beaumont Army Medical Center-army Substance Abuse Program | Social Worker | 1512 Mathias, El Paso, TX 79903 | 2010-03-01 |
| 1841434008 | Sun City Behavioral Health Care | Counselor | 2931 Montana Ave., Suite B, El Paso, TX 79903 | 2009-04-30 |
| Find all providers in zip 79903 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023309879 | 2 Casa Foster Care | Preferred Provider Organization | 4609 Esparza Ln, El Paso, TX 79934-3594 | 2011-04-28 |
| 1619290681 | Elizabeth Garcia D.c.p.a. | Preferred Provider Organization | 11615 Pellicano Dr., El Paso, TX 79936 | 2010-03-05 |
| 1942467444 | East El Paso Womens Healthcare Center Pa | Preferred Provider Organization | 7826 Bois Darc Dr, El Paso, TX 79925 | 2008-05-21 |
| 1972794147 | Injury Medical Clinic, P.a. | Preferred Provider Organization | 6600 Montana Ave, Ste J, El Paso, TX 79925-2156 | 2007-08-05 |
| 1851423990 | Dr Ajai J Agarwal Md Pa | Preferred Provider Organization | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2007-03-12 |
| 1770648149 | Denise Montalvo, Lpc, Ncc, P.a. | Preferred Provider Organization | 6044 Gateway Blvd E, Suite 368, El Paso, TX 79905-2023 | 2006-12-26 |
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|---|---|---|---|---|
| 1841849494 | Face To Face Healthcare Services LLC | Preferred Provider Organization | 2616 S Loop W Ste 300, Houston, TX 77054-2672 | 2019-09-06 |
| 1700438827 | Cleveland Phillips Jr. | Preferred Provider Organization | 11146 Vance Jackson Rd Apt 3801, San Antonio, TX 78230-2563 | 2019-07-09 |
| 1154983492 | Cassandra Denese Mitchell | Preferred Provider Organization | 8319 Heights Vly, Converse, TX 78109-3503 | 2019-07-08 |
| 1083187223 | Chinese Community Center, Inc. | Preferred Provider Organization | 9800 Town Park Dr, Houston, TX 77036-2316 | 2019-01-10 |
| 1013422492 | Cicero L Sadler | Preferred Provider Organization | 4001 San Jacinto St, Houston, TX 77004-4021 | 2017-12-07 |
| 1528577483 | Mary Brown-jacobs | Preferred Provider Organization | 501 Canvas Ct, Crowley, TX 76036-4338 | 2017-09-22 |
| 1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
| 1649706227 | Divine Integrity Allied Healthcare Services | Preferred Provider Organization | 4738 Bedford Ave, Midland, TX 79703-4535 | 2017-05-03 |
| 1255866950 | Guardian of Angels Community Living | Preferred Provider Organization | 12703 Jones Rd, 1115, Houston, TX 77070-4676 | 2017-05-01 |
| 1356874622 | Urban Line LLC | Preferred Provider Organization | 2500 Woodland Park Dr Apt C304, Houston, TX 77077-2278 | 2017-04-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.