Individual
DR. JAIME HOLBERTON SQUARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11880 VISTA DEL SOL DR STE B, EL PASO, TX 79936-6128
(915) 777-3151
(915) 855-6111
Mailing address
PO BOX 961783, EL PASO, TX 79996-1783
(915) 777-3151
(915) 855-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193400204
—
TX
Enumeration date
05/23/2007
Last updated
09/14/2023
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