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Individual

CARMEN AIDA PRIETO-JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4801 ALBERTA AVE., EL PASO, TX 79905
(915) 545-6817
(915) 545-9799
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
208000000X
Pediatrics Physician
Primary
L1972
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144675901
TX
01
89616X
BC/BS OF TEXAS
TX
Enumeration date
08/23/2006
Last updated
11/09/2023
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