Organization
CARROLL W. THORNBURG D.O.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARROLL WAYNE THORNBURG D.O (PHYSICIAN/OWNER)
(915) 842-0990
Entity
Organization
Contact information
Practice address
725 S MESA HILLS DR, SUITE 1, BLDG. 1, EL PASO, TX 79912-5568
(915) 887-3414
(915) 585-1682
Mailing address
725 S MESA HILLS DR, SUITE 1, BLDG. 1, EL PASO, TX 79912-5568
(915) 887-3414
(915) 585-1682
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G9230
TX
Other
Enumeration date
10/15/2007
Last updated
06/19/2016
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