Organization
PEDIATRIC HEALTH CENTERS OF EL PASO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDISH D PATEL MD (PRESIDENT)
(915) 593-5444
Entity
Organization
Contact information
Practice address
11026 VISTA DEL SOL, EL PASO, TX 79935
(915) 593-5444
Mailing address
11026 VISTA DEL SOL, EL PASO, TX 79935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0810731 01
—
TX
Enumeration date
08/23/2005
Last updated
02/10/2025
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