Individual
DR. CARLOS JAVIER PACHECO AGOSTO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10175 GATEWAY BLVD W STE 100, EL PASO, TX 79925-7618
(915) 283-3953
Mailing address
10175 GATEWAY BLVD W STE 100, EL PASO, TX 79925-7618
(915) 283-3953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
V5025
TX
207RN0300X
Nephrology Physician
Primary
V5025
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2019
Last updated
07/09/2025
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