Individual
MAURICIO DAVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10175 GATEWAY BLVD W, SUITE 320, EL PASO, TX 79925-7618
(915) 225-2456
(915) 503-2112
Mailing address
7420 REMCON CIR STE A, EL PASO, TX 79912-3537
(915) 532-8823
(915) 532-5909
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N1606
TX
Other
Enumeration date
10/15/2008
Last updated
06/28/2013
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