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Organization
NORTH EAST FAMILY CLINIC PA
Active
Organization
NORTH EAST FAMILY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA JACQUEZ (MD LIASION)
(915) 202-4463
Entity
Organization
Contact information
Practice address
9740 DYER ST STE 111&112, EL PASO, TX 79924-4752
(915) 500-5030
Mailing address
1500 FINSTERWALD PL, EL PASO, TX 79936-6011
(915) 222-8747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
03/07/2023
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