Basic Information
Provider Information
NPI: 1356751994
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: URIBE
FirstName: FRANCISCO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4849 N MESA ST STE 201
Address2:  
City: EL PASO
State: TX
PostalCode: 799125919
CountryCode: US
TelephoneNumber: 9153516600
FaxNumber:  
Practice Location
Address1: 4321 N MESA ST STE A
Address2:  
City: EL PASO
State: TX
PostalCode: 799021105
CountryCode: US
TelephoneNumber: 9158751030
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/05/2014
LastUpdateDate: 04/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084S0012XR8282TXN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
283Q00000XBP10050875TXN HospitalsPsychiatric Hospital 
2084P0800XR8282TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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