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Organization
EASTSIDE DOCTORS' ASSOCIATION, LLC
Active
Organization
EASTSIDE DOCTORS' ASSOCIATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENYON BEHRENS D.O. (PHYSICIAN)
(915) 592-8223
Entity
Organization
Contact information
Practice address
7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1815
(915) 592-8222
(915) 592-8328
Mailing address
7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1815
(915) 592-8222
(915) 592-8328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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