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Organization

PRESIDIO LABORATORIES CORP

Active
Parent organization
EL PASO PAIN CENTER, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
EL PASO PAIN CENTER, PA
Authorized official
HOLLY B VAZQUEZ (PRACTICE ADMINISTRATOR)
(915) 526-7880
Entity
Organization

Contact information

Practice address
3215 GATEWAY BLVD W, SUITE C, EL PASO, TX 79903-4225
(915) 526-7880
Mailing address
3215 GATEWAY BLVD W, SUITE C, EL PASO, TX 79903-4225
(915) 526-7880

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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