Organization
CESAR JURADO
Active
Other names
Therapeutic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR JURADO C.PED,CFO, BS (OWNER)
(915) 613-2103
Entity
Organization
Contact information
Practice address
1810 MURCHISON DR, STE 220, EL PASO, TX 79902-2906
(915) 613-2103
(915) 533-2103
Mailing address
1810 MURCHISON DR, STE 220, EL PASO, TX 79902-2906
(915) 613-2103
(915) 533-2103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0091143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185077802
—
TX
01
—
185077803
MEDICAID CCP
TX
Enumeration date
05/23/2006
Last updated
09/26/2012
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