Organization
SUN CITY DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN MATTHEW GUEVARA MD (PRESIDENT)
(915) 351-7546
Entity
Organization
Contact information
Practice address
4545 N MESA ST, EL PASO, TX 79912-6121
(915) 351-7546
(915) 351-3545
Mailing address
4545 N MESA ST, EL PASO, TX 79912-6121
(915) 351-7546
(915) 351-3545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M5195
TX
Other
Enumeration date
12/14/2006
Last updated
09/29/2009
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