Organization
HALSTED SURGICAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ANGELINA HALSTED M.D. (OWNER)
(915) 593-9800
Entity
Organization
Contact information
Practice address
10201 GATEWAY BLVD W STE 420, EL PASO, TX 79925-7647
(915) 593-9800
(915) 593-9805
Mailing address
7408 UMBRIA DR, EL PASO, TX 79904-3505
(915) 593-9800
(915) 593-9805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J2048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036DU
BCBS
TX
Enumeration date
10/05/2007
Last updated
06/16/2008
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