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Organization
WORKERS PAIN MANAGEMENT CENTER, PLLC
Active
Organization
WORKERS PAIN MANAGEMENT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME HOLBERTON SQUARE MD (PRESIDENT)
(915) 777-3151
Entity
Organization
Contact information
Practice address
11880 VISTA DEL SOL DR STE B, EL PASO, TX 79936-6128
(915) 777-3151
(915) 855-6111
Mailing address
PO BOX 961783, EL PASO, TX 79996-1783
(915) 777-3151
(915) 855-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290386601
—
TX
Enumeration date
02/24/2011
Last updated
09/14/2023
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