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Organization

JORGE A SIFUENTES MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORGE SIFUENTES MD (PRESIDENT)
(806) 274-7057
Entity
Organization

Contact information

Practice address
713 DEAHL ST, BORGER, TX 79007-3522
(806) 274-7057
(806) 274-2531
Mailing address
713 DEAHL ST, BORGER, TX 79007-3522
(806) 274-7057
(806) 274-2531

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M0922
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178064501
TX
Enumeration date
12/05/2006
Last updated
05/13/2025
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