Individual
DR. EMMA S. VIADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 544-1200
Mailing address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 544-1200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H2973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127320104
—
TX
01
—
130880104
MEDICAID GROUP
TX
01
—
1831267079
GROUP NPI
TX
01
—
451901
MEDICARE GROUP PTAN
TX
Enumeration date
11/02/2005
Last updated
06/25/2015
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