MEDICARE: BETTER YOU H.W. 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1740024900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER YOU H.W. LLC

Provider Business Mailing Address
First Line	:	7125 N SKIES LN
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79934-3426
Country	:	US
Telephone Number	:	915-252-2155
Fax Number	:	915-206-4057

Provider Business Practice Location Address
First Line	:	5625 WOODROW BEAN STE 111
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4143
Country	:	US
Telephone Number	:	915-236-1455
Fax Number	:	915-206-4057

Authorized Official
Title or Position	:	OWNER
Name	:	MS. VANESSA EMILY ORTEGA
Credential	:	FNP-C
Telephone Number	:	915-236-1455

Provider Enumeration Date	:	06/22/2024
Last Update Date	:	06/22/2024

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