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Organization

WEST TEXAS COSMETIC SURGICAL ASSOC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELSA JERNIGAN (OFFICE MANAGER)
(915) 541-1225
Entity
Organization

Contact information

Practice address
1700 N OREGON ST, SUITE 755, EL PASO, TX 79902-3590
(915) 541-1225
(915) 541-1229
Mailing address
1700 N OREGON ST, SUITE 755, EL PASO, TX 79902-3590
(915) 541-1225
(915) 541-1229

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
E4959
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
L1894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126386
TX
Enumeration date
01/16/2008
Last updated
03/28/2008
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