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Organization
TEXAS ANESTHESIA SPECIALISTS PA
Active
Organization
TEXAS ANESTHESIA SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE AVILA-HERNANDEZ M.D. (PRESIDENT)
(915) 779-1716
Entity
Organization
Contact information
Practice address
5959 GATEWAY BLVD W STE 120, EL PASO, TX 79925-3315
(915) 779-1716
Mailing address
5959 GATEWAY BLVD W STE 120, EL PASO, TX 79925-3315
(915) 779-1716
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/16/2009
Last updated
03/31/2009
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