Individual
ALFONSO ISMAEL CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11212 MONTWOOD DR, EL PASO, TX 79936-4241
(915) 590-9355
Mailing address
3940 BRECKENRIDGE DR, EL PASO, TX 79936-1206
(915) 629-0263
(915) 594-0863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10763
TX
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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