Organization
SOUTHWEST NEUROSURGICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELINA MARTIN (PRACTICE ADMINISTRATOR)
(915) 875-1265
Entity
Organization
Contact information
Practice address
71 SIERRA CREST DR, EL PASO, TX 79902-1929
(915) 875-1265
Mailing address
71 SIERRA CREST DR, EL PASO, TX 79902-1929
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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