Individual
AVI JOSHUA KOPSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-5700
(915) 215-8872
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
T0542
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2015
Last updated
11/08/2023
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