Individual
ANGELICA C PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
(915) 564-7833
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
(915) 564-7833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H8334
TX
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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