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Organization
ST. JUDE'S FAMILY AND PEDIATRIC CLINIC PLLC
Active
Organization
ST. JUDE'S FAMILY AND PEDIATRIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE C GRIEGO ARNP (CEO)
(915) 544-8844
Entity
Organization
Contact information
Practice address
5140 MONTANA AVE, EL PASO, TX 79903-4904
(915) 544-8844
Mailing address
5140 MONTANA AVE, EL PASO, TX 79903-4904
(915) 204-3809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
03/02/2023
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