Individual
DR. JORGE LUIS CARMONA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 MURCHISON DR, EL PASO, TX 79902-2931
(915) 533-7465
(915) 534-1185
Mailing address
1700 MURCHISON DR, EL PASO, TX 79902-2931
(915) 533-7465
(915) 534-1185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32740
OK
208600000X
Surgery Physician
32740
OK
208600000X
Surgery Physician
Primary
T5532
TX
390200000X
Student in an Organized Health Care Education/Training Program
63064
NY
Other
Enumeration date
04/18/2011
Last updated
12/07/2022
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