Individual
STANISLAUS TING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(575) 522-2400
(575) 522-2375
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(575) 522-2400
(575) 522-2375
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
83-322
NM
2080P0201X
Pediatric Allergy/Immunology Physician
G9233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103735002
—
TX
05
—
32219
—
NM
Enumeration date
08/23/2006
Last updated
07/27/2012
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