Organization
PEDIAMED NIGHT CLINIC-9740
Active
Parent organization
PEDIAMED NIGHT CLINIC
Other names
PEDIAMED NIGHT CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIAMED NIGHT CLINIC
Authorized official
MR. GUILLERMO ACOSTA (CEO)
(915) 227-0137
Entity
Organization
Contact information
Practice address
9740 DYER ST, STE 111, EL PASO, TX 79924-4752
(915) 867-4321
Mailing address
2931 GEORGE DIETER DR, STE F, EL PASO, TX 79936-2941
(915) 227-0137
(915) 208-4014
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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