Provider Demographics
NPI:1033622394
Name:HARACEC COMPLETE HEALTHCARE, PLLC
Entity Type:Organization
Organization Name:HARACEC COMPLETE HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:UGA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:915-200-1144
Mailing Address - Street 1:1700 CURIE DR STE 2100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2981
Mailing Address - Country:US
Mailing Address - Phone:915-200-1144
Mailing Address - Fax:915-703-7668
Practice Address - Street 1:1700 CURIE DR STE 2100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2981
Practice Address - Country:US
Practice Address - Phone:915-200-1144
Practice Address - Fax:915-703-7668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4867207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ4867OtherMD LICENSE