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Organization
GAMUT MEDICAL GROUP PA
Active
Organization
GAMUT MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULYSSES URQUIDI MD (PRESIDENT)
(915) 783-8162
Entity
Organization
Contact information
Practice address
8524 MOUNTAIN ASH DR, EL PASO, TX 79904-2442
(915) 783-8162
(915) 351-6601
Mailing address
8524 MOUNTAIN ASH DR, EL PASO, TX 79904-2442
(915) 783-8162
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L4774
TX
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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