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Organization

EASTSIDE DOCTORS' ASSOCIATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENYON BEHRENS D.O. (PHYSICIAN)
(915) 592-8223
Entity
Organization

Contact information

Practice address
7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1815
(915) 592-8222
(915) 592-8328
Mailing address
7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1815
(915) 592-8222
(915) 592-8328

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/17/2009
Last updated
06/17/2009
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