Organization
VA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDA AMINTA DANIELS (RN/PRIMARY CARE UNIT)
(915) 412-8231
Entity
Organization
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
689712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528565881
—
TX
Enumeration date
07/28/2008
Last updated
07/28/2008
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