Individual
JUAN ANGEL JASSO MAGDALENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 N OREGON ST, 601, EL PASO, TX 79902-3351
(915) 542-0755
Mailing address
1900 N OREGON ST, 601, EL PASO, TX 79902-3351
(915) 542-0755
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
K2502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141691903
—
TX
Enumeration date
05/01/2006
Last updated
09/09/2011
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