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Organization
UNITED MEDICAL WALK-IN CLINIC, PA
Active
Organization
UNITED MEDICAL WALK-IN CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL BORREGO MD (PRESIDENT)
(915) 240-8656
Entity
Organization
Contact information
Practice address
3101 FORNEY LN, EL PASO, TX 79935-1607
(915) 317-6033
(915) 595-2231
Mailing address
3101 FORNEY LN, EL PASO, TX 79935-1607
(915) 240-8656
(915) 595-2231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05922968
ECFMG NUMBER
—
01
—
M3476
TEXAS MEDICAL LICENSE
TX
01
—
MD2005-0204
NEW MEXICO MEDICAL LIC
NM
01
—
N0146239
TX DPS
—
Enumeration date
08/19/2006
Last updated
03/07/2023
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