Individual ProviderJared Jack BiesInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4801 Alberta Ave, El Paso, TX 79905-2707(762) 207-6923PECOS EnrollmentBased on the most recent information from CMS, provider Jared Jack Bies does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417691700Provider TypeIndividualFull NameBies, Jared JackTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date4/23/2022Last Updated4/2/2025Contact InformationPractice LocationPractice Address4801 Alberta Ave, El Paso, TX 79905-2707Phone(762) 207-6923FaxUnlisted FaxMailing LocationMailing Address4801 Alberta Ave, El Paso, TX 79905-2707Phone(762) 207-6923FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseV6872TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10081502Texas