Individual
ELISE MARIE MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9849 KENWORTHY ST, EL PASO, TX 79924-4402
(915) 215-5500
(915) 215-8655
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S1857
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2015
Last updated
04/20/2026
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