Organization
NICOLAS BAIDA FRAGOSO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS FRAGOSO MD (OWNER)
(915) 671-1371
Entity
Organization
Contact information
Practice address
1900 DENVER AVE, EL PASO, TX 79902-3008
(915) 671-1371
Mailing address
1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5692
(915) 671-1371
(915) 219-9022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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