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Individual

JOSE PRIETO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11040 VISTA DEL SOL DR STE C, EL PASO, TX 79935-4314
(915) 591-7704
(915) 591-7734
Mailing address
11040 VISTA DEL SOL DR STE C, EL PASO, TX 79935-4314
(915) 591-7704
(915) 591-7734

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6249
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0924086-01
TX
05
092408606
TX
05
092408607
TX
Enumeration date
06/10/2005
Last updated
06/24/2010
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