Organization
M & C CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY O USEN MD (PRESIDENT)
(915) 546-4140
Entity
Organization
Contact information
Practice address
11800 MONTANA AVE, EL PASO, TX 79936
(915) 546-4140
(915) 546-4144
Mailing address
11800 MONTANA AVE, EL PASO, TX 79936
(915) 546-4140
(915) 546-4144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178242701
—
TX
05
—
178243501
—
TX
Enumeration date
12/01/2006
Last updated
11/14/2011
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