Organization
TEXAS TECH UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ALBERTO CARDENTEY SR. MD (PHYSICIAN IN TRAINING)
(915) 581-3830
Entity
Organization
Contact information
Practice address
9849 KENWORTHY ST, EL PASO, TX 79924-4402
(915) 757-3178
Mailing address
205 DE LEON DR, EL PASO, TX 79912-4543
(915) 581-3830
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
23410660985
TX
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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