Organization
BIG TREE MEDICAL OF EL PASO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MARIN DNP, APRN, CPNP-PC/A (OWNER)
(915) 740-4344
Entity
Organization
Contact information
Practice address
5500 DONIPHAN DR STE 201-202, EL PASO, TX 79932-1454
(915) 455-1119
(877) 209-8941
Mailing address
5500 DONIPHAN DR STE 201-202, EL PASO, TX 79932-1454
(915) 455-1119
(877) 209-8941
Taxonomy
Speciality
Code
Description
License number
State
2080B0002X
Pediatric Obesity Medicine Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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