Individual
DR. DANIEL MAX SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 N. EL PASO ST., EL PASO, TX 79902-3943
(915) 542-1717
Mailing address
1504 N. EL PASO ST., EL PASO, TX 79902-3943
(915) 542-1717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D5203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000M3617
—
TX
Enumeration date
08/28/2009
Last updated
08/28/2009
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