Provider Demographics
NPI:1073293262
Name:MOBILEMED HOME TEAM PLLC
Entity Type:Organization
Organization Name:MOBILEMED HOME TEAM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTIONER-ACUTE CARE
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:EUNICE GODINEZ
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:915-351-6600
Mailing Address - Street 1:4849 N MESA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5919
Mailing Address - Country:US
Mailing Address - Phone:191-535-1660
Mailing Address - Fax:915-351-6601
Practice Address - Street 1:1201 E SCHUSTER AVE STE 1A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4646
Practice Address - Country:US
Practice Address - Phone:915-808-2937
Practice Address - Fax:915-369-6762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty