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Organization

BORDER PAIN INSTITUTE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS O VIESCA MD (OWNER)
(915) 857-4130
Entity
Organization

Contact information

Practice address
1000 N MESA ST, EL PASO, TX 79902-4008
(915) 857-4130
(915) 857-4135
Mailing address
1810 MURCHISON DR STE 50, EL PASO, TX 79902-2927
(915) 857-5130
(915) 857-4135

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
L5602
TX
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
09/27/2016
Last updated
06/27/2024
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