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Organization

MT WEST FAMILY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARLA PATRICIA GARCIA PAS (CERTIFIED MEDICAL CODER)
(915) 584-7920
Entity
Organization

Contact information

Practice address
6151 DEW DR, STE 410, EL PASO, TX 79912-3912
(915) 584-7920
(915) 584-8546
Mailing address
PO BOX 13203, EL PASO, TX 79913-3203
(915) 584-7920
(915) 584-8546

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
G8481
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079714401
TX
Enumeration date
06/09/2008
Last updated
06/09/2008
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