Individual
COLBY MARK GENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9849 KENWORTHY ST, EL PASO, TX 79924-4402
(915) 215-5500
(915) 215-8655
Mailing address
440 RAYNOLDS ST # 51015, EL PASO, TX 79905-1613
(915) 215-4479
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
S2310
TX
Other
Enumeration date
03/26/2015
Last updated
04/05/2023
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