# ANTONIO DAVALOS,M.D,,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093093593
- **Authorized official:** MRS. ELVIA SAMANIEGO (OFFICE MANAGER)
- **Authorized official phone:** (915) 591-4467

## Contact information

- **Practice address:** 10201 GATEWAY BLVD W, SUITE 410, EL PASO, TX 79925-7652
- **Practice address phone:** (915) 591-4467
- **Practice address fax:** (915) 590-3738
- **Mailing address:** 10201 GATEWAY BLVD W, SUITE 410, EL PASO, TX 79925-7652
- **Mailing address phone:** (915) 591-4467
- **Mailing address fax:** (915) 590-3738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | F3834 | TX | Yes |

## Other

- **Enumeration date:** 08/01/2011
- **Last updated:** 08/01/2011