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Organization
SOUTHWEST PEDIATRIC NIGHT CLINIC OF EL PASO, P.A.
Active
Organization
SOUTHWEST PEDIATRIC NIGHT CLINIC OF EL PASO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A GUTIERREZ M.D. (PHYSICIAN)
(915) 590-5600
Entity
Organization
Contact information
Practice address
10460 VISTA DEL SOL DR STE 303, EL PASO, TX 79925-7939
(915) 633-9276
(915) 633-9276
Mailing address
10460 VISTA DEL SOL DR STE 303, EL PASO, TX 79925-7939
(915) 633-9276
(915) 633-9276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F8501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149955001
—
TX
Enumeration date
03/16/2007
Last updated
07/14/2008
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