Individual
BEATRIZ AMPARO DERAS FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4875 MAXWELL AVE, EL PASO, TX 79904-1559
(915) 465-1191
(915) 300-0289
Mailing address
415 S MESA HILLS DR APT 1242, EL PASO, TX 79912-5480
(915) 280-7600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10087835
TX
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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