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Organization
CITY OF EL PASO TEXAS
Active
Organization
CITY OF EL PASO TEXAS
Active
Other names
Dept. of Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE GOODBAR (BILLING MANAGER)
(915) 771-5779
Entity
Organization
Contact information
Practice address
5115 EL PASO DRIVE, SUITE B, CLINIC A, EL PASO, TX 79905-2818
(915) 771-5779
(915) 771-5893
Mailing address
5115 EL PASO DRIVE, SUITE B, CLINIC A, EL PASO, TX 79905-2818
(915) 771-5779
(915) 771-5893
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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