Individual
ROBERTA LEE FENNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6955 N MESA ST, SUITE 113, EL PASO, TX 79912-4442
(915) 545-1509
(915) 544-5357
Mailing address
6955 N MESA ST, SUITE 113, EL PASO, TX 79912-4442
(915) 545-1509
(915) 544-5357
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
J2873
TX
2084P0800X
Psychiatry Physician
J2873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E0694
—
NM
Enumeration date
08/05/2006
Last updated
09/11/2025
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