Organization
MISSION VALLEY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA R DE LA VEGA (PRESIDENT)
(915) 820-9228
Entity
Organization
Contact information
Practice address
9001 CASHEW DR, STE 900, EL PASO, TX 79907-2967
(915) 858-2300
(915) 858-2302
Mailing address
9001 CASHEW DR, STE 900, EL PASO, TX 79907-2967
(915) 820-9228
(305) 388-4380
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
05/20/2011
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