# EASTSIDE DOCTORS' ASSOCIATION, LLC

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

## Provider details

- **NPI number:** 1598992513
- **Authorized official:** DR. KENYON BEHRENS D.O. (PHYSICIAN)
- **Authorized official phone:** (915) 592-8223

## Contact information

- **Practice address:** 7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1815
- **Practice address phone:** (915) 592-8222
- **Practice address fax:** (915) 592-8328
- **Mailing address:** 7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1815
- **Mailing address phone:** (915) 592-8222
- **Mailing address fax:** (915) 592-8328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2009
- **Last updated:** 06/17/2009
