Individual
MR. JUAN EMMANUEL ANZURES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
725 S. MESA HILLS DR., BLDG 1, STE 1, EL PASO, TX 79912
(915) 887-3410
(915) 351-4467
Mailing address
201 E MAIN DR STE 600, EL PASO, TX 79901-1385
(915) 887-3410
(915) 351-3643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP136174
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384199101
—
TX
Enumeration date
01/08/2018
Last updated
03/02/2022
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