Organization
AB PEDIATRIC HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES BOADELLA MD (OWNER)
(915) 577-0455
Entity
Organization
Contact information
Practice address
1400 N EL PASO ST STE E, EL PASO, TX 79902-3438
(915) 577-0455
Mailing address
1400 N EL PASO ST STE E, EL PASO, TX 79902-3438
(915) 577-0455
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
12/23/2019
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