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Individual

GEORGE SANMIGUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 W HAGUE RD, 260, EL PASO, TX 79902-5814
(915) 225-3822
(915) 225-3832
Mailing address
125 W HAGUE RD, 260, EL PASO, TX 79902-5814
(915) 225-3822
(915) 225-3832

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F1968
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00508U
MEDICARE GROUP PIN
TX
05
122695305
TX
Enumeration date
07/07/2005
Last updated
11/08/2010
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