Individual
JESUS ENRIQUE ARELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
14048 OSO ROCK WAY, EL PASO, TX 79938
(915) 373-1753
Mailing address
PO BOX 962158, EL PASO, TX 79996-2158
(915) 373-1753
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00628
TX
Other
Enumeration date
03/31/2017
Last updated
03/07/2019
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