Organization
SOUTHWEST ENDOCRINE CONSULTANTS
Active
Other names
El Paso Nuclear Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR J. STRADER MD (PRESIDENT)
(915) 533-5486
Entity
Organization
Contact information
Practice address
1201 E SCHUSTER AVE BLDG 7, EL PASO, TX 79902-4660
(915) 533-5486
(915) 533-9602
Mailing address
1201 E SCHUSTER AVE BLDG 7, EL PASO, TX 79902-4660
(915) 533-5486
(915) 533-9602
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081750401
—
TX
01
—
110148877
PALMETTO GBA- RR MEDICARE
—
Enumeration date
01/31/2007
Last updated
07/15/2008
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