Organization
GUIDING STAR SOUTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CAVALIERE (CEO)
(575) 313-2277
Entity
Organization
Contact information
Practice address
1411 MONTANA AVE, EL PASO, TX 79902-5617
(915) 544-9600
Mailing address
1411 MONTANA AVE, EL PASO, TX 79902-5617
(915) 544-9600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/02/2023
Last updated
12/13/2023
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