Organization
EL PASO RIO GRANDE OB/GYN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA GARCIA (PRACTICE ADMINISTRATOR)
(915) 533-7579
Entity
Organization
Contact information
Practice address
125 W HAGUE RD, SUITE 260, EL PASO, TX 79902-5814
(915) 533-7579
(915) 225-3832
Mailing address
125 W HAGUE RD, SUITE 260, EL PASO, TX 79902-5814
(915) 533-7579
(915) 225-3832
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L8442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2840621-01
—
TX
01
—
801440526
STATE PA FILING #
TX
Enumeration date
06/25/2011
Last updated
08/31/2012
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