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PROVENCIO ENTERPRISES INCORPORATED
NPI 1790260107
Clinic/Center in El Paso, TX

Active since October 02, 2018
5380 N MESA ST STE 108, EL PASO, TX 79912(915) 613-3989(915) 503-2737 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provencio Enterprises Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVENCIO ENTERPRISES INCORPORATED (NPI 1790260107) is a healthcare organization registered as a clinic/center in El Paso, Texas and active in the NPI registry since October 2018. The organization lists Griselda P Oaxaca, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1790260107
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVENCIO ENTERPRISES INCORPORATED
Location Address5380 N MESA ST STE 108El Paso, TX 79912-5869
Mailing Address5380 N Mesa St Ste 108El Paso, TX 79912-5869 · (915) 613-3989 · Fax (915) 503-2737
Phone(915) 613-3989
Fax(915) 503-2737
Organization SubpartNo
Authorized OfficialGriselda P OaxacaOwner/director · (915) 613-3989
Enumeration DateOctober 2, 2018
✔ NPI 1790260107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPsychologistTaxonomy 103T00000X
5380 N MESA ST STE 108, El Paso, TX 79912
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRISELDA P OAXACA
Developmental Therapist
5380 N MESA ST STE 108
EL PASO, TX 79912
El Paso County (915) 613-3989
PROVENCIO ENTERPRISES INCORPORATED
Student in an Organized Health Care Education/Training Program
5380 N MESA ST STE 108
EL PASO, TX 79912
El Paso County (915) 613-3989

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provencio Enterprises Incorporated's NPI number?

The NPI number for Provencio Enterprises Incorporated is 1790260107. It was assigned to this organization in the NPPES registry on October 2, 2018.

Where is Provencio Enterprises Incorporated located?

Provencio Enterprises Incorporated is located at 5380 N Mesa St Ste 108, El Paso, TX 79912. The listed phone number is (915) 613-3989.

What is Provencio Enterprises Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Provencio Enterprises Incorporated accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Provencio Enterprises Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provencio Enterprises Incorporated was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.