Organization
FAMILY PRACTICE & URGENT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HUMAIRA RAHMAN (ADMINSTARTOR)
(915) 204-8879
Entity
Organization
Contact information
Practice address
10501 GATEWAY BLVD W STE 105, EL PASO, TX 79925-7929
(915) 307-2371
(915) 307-2383
Mailing address
10501 GATEWAY BLVD W STE 105, EL PASO, TX 79925-7929
(915) 307-2371
(915) 307-2383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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