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Organization
WESTSIDE FAMILY MEDICINE
Active
Organization
WESTSIDE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ROCHA DO (PRESIDENT)
(915) 577-9003
Entity
Organization
Contact information
Practice address
840 E REDD RD, BLDG 4, EL PASO, TX 79912-7221
(915) 577-9003
Mailing address
840 E REDD RD, BLDG 4, EL PASO, TX 79912-7221
(915) 577-9003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1146
TX
Other
Enumeration date
01/22/2007
Last updated
12/07/2007
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