Individual
ANA CECILIA BERNUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1724 WESTON BRENT LN, EL PASO, TX 79935-3014
(915) 595-1812
Mailing address
2445 MCKINLEY AVE APT A48, EL PASO, TX 79930-2241
(915) 595-1918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04756
TX
363AM0700X
Medical Physician Assistant
PA04756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281616701
—
TX
05
—
281616702
—
TX
05
—
281616703
—
TX
Enumeration date
08/12/2006
Last updated
10/10/2011
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