MEDICARE: WEST VIEW MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9721	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9435007	OTHER	TX	PHCS PROVIDER NUMBER

General Provider Information

NPI Number	:	1508964016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST VIEW MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	5539 N MESA ST STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5422
Country	:	US
Telephone Number	:	915-587-9900
Fax Number	:	915-587-9904

Provider Business Practice Location Address
First Line	:	5539 N MESA ST STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5422
Country	:	US
Telephone Number	:	915-587-9900
Fax Number	:	915-587-9904

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. RICARDO PONCE
Credential	:	DC
Telephone Number	:	915-587-9900

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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Directions to “WEST VIEW MANAGEMENT LLC ” Practice Location

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