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Organization
MINIMALLY INVASIVE UROLOGY OF THE SOUTHWEST
Active
Organization
MINIMALLY INVASIVE UROLOGY OF THE SOUTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR H FIERRO (OFFICE MANAGER)
(915) 838-1193
Entity
Organization
Contact information
Practice address
1700 N OREGON ST, STE 560, EL PASO, TX 79902-3584
(915) 838-1193
Mailing address
1700 N OREGON, EL PASO, TX 79902
(915) 838-1193
(915) 838-1198
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168076101
—
TX
Enumeration date
06/30/2006
Last updated
07/21/2008
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