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Organization
NEW LIGHT PRIMARY CARE P. A
Active
Organization
NEW LIGHT PRIMARY CARE P. A
Active
Other names
New Light Primary Care PA
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MANQUERO-BUTLER (PRESIDENT)
(915) 772-5400
Entity
Organization
Contact information
Practice address
3615 RUTHERGLEN ST, EL PASO, TX 79925-1416
(915) 772-5400
(915) 772-5402
Mailing address
3615 RUTHERGLEN ST, EL PASO, TX 79925-1416
(915) 772-5400
(915) 772-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TXB104258
—
TX
Enumeration date
05/03/2010
Last updated
07/21/2022
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