# EASTSIDE TOTAL HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1386919017
- **Authorized official:** DR. ARTURO HERNANDEZ M.D. (PARTNER)
- **Authorized official phone:** (915) 313-7322

## Contact information

- **Practice address:** 11680 PEBBLE HILLS BLVD STE 107-109, EL PASO, TX 79936-1090
- **Practice address phone:** (915) 313-7322
- **Practice address fax:** (915) 313-7324
- **Mailing address:** 11680 PEBBLE HILLS BLVD STE 107-109, EL PASO, TX 79936-1090
- **Mailing address phone:** (915) 313-7322
- **Mailing address fax:** (915) 313-7324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | N5104 | TX | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012