Individual
JESUS ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8061 ALAMEDA AVE, EL PASO, TX 79915-4705
(915) 859-7545
Mailing address
1404 LUZ DE CUEVA LN, EL PASO, TX 79912-8420
(915) 584-8326
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
J5135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130880104
—
TX
01
—
1831267079
GROUP NPI
TX
Enumeration date
11/07/2006
Last updated
12/14/2011
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