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Organization
MEDICAL SERVICES OF THE BORDER PA
Active
Organization
MEDICAL SERVICES OF THE BORDER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN G BECERRA MD (OWNER)
(915) 249-4470
Entity
Organization
Contact information
Practice address
2121 WYOMING AVE, EL PASO, TX 79903-3508
(915) 249-4470
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400039001
—
TX
Enumeration date
05/23/2019
Last updated
03/28/2024
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