Organization
DONIPHAN PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIA LARIS (HUMAN RESOURCES MANAGEMENT)
(915) 642-4117
Entity
Organization
Contact information
Practice address
6621 DONIPHAN DR, SUITE E, CANUTILLO, TX 79835-5002
(915) 642-4117
(915) 642-4113
Mailing address
6621 DONIPHAN DR, SUITE E, CANUTILLO, TX 79835-5002
(915) 642-4117
(915) 642-4113
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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