Organization
ANTONIO DAVALOS,M.D,,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELVIA SAMANIEGO (OFFICE MANAGER)
(915) 591-4467
Entity
Organization
Contact information
Practice address
10201 GATEWAY BLVD W, SUITE 410, EL PASO, TX 79925-7652
(915) 591-4467
(915) 590-3738
Mailing address
10201 GATEWAY BLVD W, SUITE 410, EL PASO, TX 79925-7652
(915) 591-4467
(915) 590-3738
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
F3834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089836301
—
TX
Enumeration date
08/01/2011
Last updated
08/01/2011
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