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Organization
MT WEST HEALTH CENTER PA
Active
Organization
MT WEST HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS A VILLALOBOS M.S (EXECUTIVE DIRECTOR)
(915) 584-7920
Entity
Organization
Contact information
Practice address
6151 DEW DR STE 410, EL PASO, TX 79912-3912
(915) 584-8124
(915) 584-8546
Mailing address
PO BOX 13203, EL PASO, TX 79913-3203
(915) 217-2793
(915) 584-8546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079714401
—
TX
Enumeration date
08/09/2006
Last updated
12/02/2024
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