Individual
BILLY R BRICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2900 PERSHING DR, SUITE A, EL PASO, TX 79903-2403
(915) 566-9369
(915) 566-8120
Mailing address
1237 SOUTHWESTERN DR, EL PASO, TX 79912-1115
(915) 307-7632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04281
TX
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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