# EASTSIDE WOMEN'S HEALTHCARE CENTER, P.A.

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

## Provider details

- **NPI number:** 1467404822
- **Authorized official:** MRS. SOLEDAD CHACON (PHYSICIANS' OFFICE MANAGER)
- **Authorized official phone:** (915) 591-4624

## Contact information

- **Practice address:** 11040 VISTA DEL SOL,, STE. A, EL PASO, TX 79935
- **Practice address phone:** (915) 591-4624
- **Practice address fax:** (915) 591-9291
- **Mailing address:** 11040 VISTA DEL SOL,, STE. A, EL PASO, TX 79935
- **Mailing address phone:** (915) 591-4624
- **Mailing address fax:** (915) 591-9291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J2216 | TX | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 08/22/2020