Organization
MONTANA PEDIATRIC NIGHT CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY USEN MD (PRESIDENT)
(915) 546-4140
Entity
Organization
Contact information
Practice address
11800 MONTANA AVE, EL PASO, TX 79936-1501
(915) 546-4140
(915) 546-4144
Mailing address
11800 MONTANA AVE, EL PASO, TX 79936-1501
(915) 546-4140
(915) 546-4144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M0296
TX
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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