Organization
MARANATHA PHYSICAL MEDICINE & REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA SHANEL BARRETT MD (PRESIDENT)
(915) 539-7841
Entity
Organization
Contact information
Practice address
5833 VIA CUESTA DR, EL PASO, TX 79912-6610
(915) 539-7841
Mailing address
5833 VIA CUESTA DR, EL PASO, TX 79912-6610
(915) 539-7841
(915) 314-0474
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q7639
TX
Other
Enumeration date
03/17/2018
Last updated
09/20/2023
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