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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