Professional Associate is a Pediatric Dental Clinic in El Paso, Texas. It is located at 11165 La Quinta Place, El Paso, TX and its contact number is 915-591-1999. The authorized person for Professional Associate is Dr. Eugene Davis Stevenson Jr.
who is Owner of the clinic and their contact number is 915-591-1999. The primary license number for Professional Associate is 13513 (Pediatric Dentistry) in Texas. Professional Associate Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Professional Associate Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Professional Associate
Specialization:
Pediatric Dentistry
Clinic Address:
11165 La Quinta Place, El Paso, Texas, 79936
Phone:
915-591-1999
Fax:
915-591-3201
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Eugene Davis Stevenson Jr.
Position:
Owner
Contact Number:
915-591-1999
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Professional Associate clinic are as mentioned below.
NPI Number:
1417027251
NPI Enumeration Date:
09 Nov, 2006
NPI Last Update On:
01 Oct, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional Associate are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
13513
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D13513
Other
Bcbs
828328
Other
United Concordia
G601421
Other
Delta Chip
111009002
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Professional Associate 11165 La Quinta Place, El Paso, Texas
Zip:
79936
Phone Number:
915-591-1999
Fax Number:
915-591-3201
Patients can reach Professional Associate at 11165 La Quinta Place, El Paso, Texas or can call to book an appointment on 915-591-1999. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.