Individual
JAIME NATIVIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1907 E YANDELL DR, EL PASO, TX 79903-3416
(915) 219-4300
(915) 519-4300
Mailing address
5746 TROWBRIDGE DR, EL PASO, TX 79925-3341
(915) 219-4300
(915) 519-4300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
583765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C81Q
BCBS
TX
05
—
088958602
—
TX
Enumeration date
09/16/2006
Last updated
11/15/2022
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