Organization
BEN LEYVA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LEYVA D.C. (OWNER)
(512) 705-1581
Entity
Organization
Contact information
Practice address
1393 GEORGE DIETER DR STE E, EL PASO, TX 79936-7410
(915) 228-4915
(915) 975-8007
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
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628511
—
TX
Enumeration date
12/18/2017
Last updated
03/19/2018
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