Individual
MONICA DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5400
(915) 215-8632
Mailing address
440 RAYNOLDS ST, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11600
TMB
TX
Enumeration date
11/01/2017
Last updated
08/28/2020
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