# EAST EL PASO FAMILY MEDICINE PA

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

## Provider details

- **NPI number:** 1841790078
- **Authorized official:** BENJAMIN J. LEYVA D.C. (PRESIDENT)
- **Authorized official phone:** (915) 228-4915

## Contact information

- **Practice address:** 1393 GEORGE DIETER DR STE D, EL PASO, TX 79936-7410
- **Practice address phone:** (915) 228-4915
- **Mailing address:** 4849 N MESA ST STE 201, EL PASO, TX 79912-5919
- **Mailing address phone:** (915) 351-6600
- **Mailing address fax:** (915) 351-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2018
- **Last updated:** 03/19/2018