Individual
IRVING A PALACIOS Y TREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1413 ADOLPH CARSON PL, EL PASO, TX 79936-7203
(915) 329-0573
Mailing address
1413 ADOLPH CARSON PL, EL PASO, TX 79936-7203
(915) 329-0573
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-194
TX
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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