Provider Demographics
NPI:1497411037
Name:INTEGRATIVE PRIMARY CARE OF EL PASO, PLLC
Entity Type:Organization
Organization Name:INTEGRATIVE PRIMARY CARE OF EL PASO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AGATHE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-740-7064
Mailing Address - Street 1:11450 GATEWAY BLVD N STE 2200
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3461
Mailing Address - Country:US
Mailing Address - Phone:915-440-3700
Mailing Address - Fax:915-440-3701
Practice Address - Street 1:11450 GATEWAY NORTH BLVD. SUITE 2200
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934
Practice Address - Country:US
Practice Address - Phone:915-691-5379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2022-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty