Organization
CITY OF EL PASO TEXAS
Active
Other names
Dept. of Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE GOODBAR (BILLING MANAGER)
(915) 771-5779
Entity
Organization
Contact information
Practice address
5115 EL PASO DRIVE, SUITE B, CLINIC A, EL PASO, TX 79905-2818
(915) 771-5779
(915) 771-5893
Mailing address
5115 EL PASO DRIVE, SUITE B, CLINIC A, EL PASO, TX 79905-2818
(915) 771-5779
(915) 771-5893
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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