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Organization
BABY PAVILION
Active
Organization
BABY PAVILION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMTIYAZ MOMIN (CEO)
(832) 646-1341
Entity
Organization
Contact information
Practice address
6070 GATEWAY BLVD E STE 105C, EL PASO, TX 79905-2027
(832) 646-1341
Mailing address
6070 GATEWAY BLVD E STE 105C, EL PASO, TX 79905-2027
(832) 646-1341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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