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Organization
EP MODERN MEDICINE PLLC
Active
Organization
EP MODERN MEDICINE PLLC
Active
Other names
EP Preventive Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL MAGALLANES (PRESIDENT)
(915) 228-3080
Entity
Organization
Contact information
Practice address
154 N FESTIVAL DR STE A, EL PASO, TX 79912-6265
(915) 328-6233
(915) 779-9797
Mailing address
154 N FESTIVAL DR STE A, EL PASO, TX 79912-6265
(915) 328-6233
(915) 779-9797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
05/14/2024
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