Organization
INTERNAL MEDICINE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR GONZALEZ MD (MEDICAL DIRECTOR)
(915) 222-8275
Entity
Organization
Contact information
Practice address
1715 SAUL KLIENFIELD BLDG A, EL PASO, TX 79936
(915) 222-8275
(915) 222-8297
Mailing address
PO BOX 71449, EL PASO, TX 79917-1449
(915) 222-8275
(915) 222-8297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4440
TX
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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