Organization
CHEZ THERESE MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE O BOSAH MD (PRESIDENT)
(276) 274-2144
Entity
Organization
Contact information
Practice address
6955 N MESA ST STE 101, EL PASO, TX 79912-4424
(915) 613-3010
(915) 201-1253
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
11/18/2021
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