# VISCOUNT ENDODONTIC GROUP PLLC

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

## Provider details

- **NPI number:** 1750815882
- **Authorized official:** DR. ANDREW XU DDS (MAMBER MANAGER)
- **Authorized official phone:** (915) 595-1399

## Contact information

- **Practice address:** 9398 VISCOUNT BLVD, STE. 4B, EL PASO, TX 79925-8056
- **Practice address phone:** (915) 595-1399
- **Mailing address:** 9398 VISCOUNT BLVD, STE. 4B, EL PASO, TX 79925-8056
- **Mailing address phone:** (915) 595-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 23524 | TX | Yes |

## Other

- **Enumeration date:** 04/15/2017
- **Last updated:** 04/15/2017