Healthcare Provider Details

I. General information

NPI: 1356718993
Provider Name (Legal Business Name): WREYTONS BILLING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 GEORGIA PL
EL PASO TX
79902-2813
US

IV. Provider business mailing address

1713 GEORGIA PL
EL PASO TX
79902-2813
US

V. Phone/Fax

Practice location:
  • Phone: 915-228-8519
  • Fax: 915-543-4957
Mailing address:
  • Phone: 915-228-8519
  • Fax: 915-543-4957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCOS RUBEN CARRERA
Title or Position: DENTAL CODER
Credential: ADCA CERTIFICAE
Phone: 915-543-4957