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Individual

MONIQUE C MOKONCHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 MEDICAL CENTER ST, SUITE 102, EL PASO, TX 79902-5002
(541) 212-9003
(915) 533-2568
Mailing address
1600 MEDICAL CENTER DRIVE SUITE 102, EL PASO, TX 79902
(915) 351-0755
(915) 351-0730

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M4368
TX
207VG0400X
Gynecology Physician
Primary
M4368
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M4368
STATE MEDICAL LICENSE
TX
01
MD23693
OREGON MEDICAL LICENSE
OR
Enumeration date
10/03/2006
Last updated
03/07/2023
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