Individual
ANDRES BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1551 MONTANA AVE, EL PASO, TX 79902-5668
(915) 887-3410
Mailing address
1600 MONTANA AVE, EL PASO, TX 79902-5622
(915) 887-3410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144424
TX
Other
Enumeration date
12/19/2019
Last updated
09/29/2020
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