Organization
INTERNAL MEDICINE PROVIDERS OF EL PASO PLLC
Active
Organization
INTERNAL MEDICINE PROVIDERS OF EL PASO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GRANADO (CREDENTIALER)
(817) 209-4946
Entity
Organization
Contact information
Practice address
717 LAKEWAY DR, EL PASO, TX 79932-3120
(915) 373-2796
Mailing address
717 LAKEWAY DR, EL PASO, TX 79932-3120
(915) 373-2796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9360
TX
Other
Enumeration date
06/30/2015
Last updated
07/22/2015
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