Organization
AMY MAXWELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS FERNANDO ESCARZAGA (MANAGER)
(915) 740-5122
Entity
Organization
Contact information
Practice address
10501 GATEWAY BLVD W, SUITE 140, EL PASO, TX 79925-7934
(915) 544-7300
Mailing address
PO BOX 220122, EL PASO, TX 79913-2122
(915) 740-5122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M3317
TX
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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