Organization
GENEVIEVE M, BELGRAVE, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE M BELGRAVE M.D. (OWNER)
(915) 204-0526
Entity
Organization
Contact information
Practice address
1316 N YARBROUGH DR, EL PASO, TX 79925-7800
(915) 590-7378
(915) 590-7379
Mailing address
7712 GRAND CANYON PL, EL PASO, TX 79904-3140
(915) 204-0526
(915) 779-0440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649200668
INDIVIDUAL NPI
TX
Enumeration date
04/27/2009
Last updated
11/15/2022
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