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Individual

DR. JULIO C. NOVOA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10781 PEBBLE HILLS BLVD STE A, EL PASO, TX 79935-2038
(915) 595-9944
(915) 595-9944
Mailing address
10781 PEBBLE HILLS BLVD STE A, EL PASO, TX 79935-2038
(915) 595-9944
(915) 595-9944

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K8386
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039JY
BC/BS PROVIDER NUMBER
TX
05
040148103
TX
01
810590634
TAX ID
TX
01
91252075
NEW MEXICO MEDICAID #
TX
Enumeration date
11/02/2005
Last updated
03/16/2023
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