# EL PASO INFECTIOUS DISEASES, PA

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

## Provider details

- **NPI number:** 1437571114
- **Authorized official:** JACQUELYN ANN GOUVEIA D.O. (PHYSICIAN - OWNER)
- **Authorized official phone:** (915) 400-2600

## Contact information

- **Practice address:** 1250 E CLIFF DR STE 5F, EL PASO, TX 79902-4850
- **Practice address phone:** (915) 400-2600
- **Practice address fax:** (915) 591-9215
- **Mailing address:** 1250 E CLIFF DR STE 5F, EL PASO, TX 79902-4850
- **Mailing address phone:** (915) 400-2600
- **Mailing address fax:** (915) 249-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | M8004 | TX | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 09/17/2019