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Individual

DR. MARIA E LARRAZALETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9398 VISCOUNT, SUITE 2B, EL PASO, TX 79925-2709
(915) 629-0442
(915) 629-0552
Mailing address
945 S MESA HILLS DR, APT 3803, EL PASO, TX 79912-5122
(787) 308-1851

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
Q5209
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q5209
TX MEDICAL LICENSE #
TX
Enumeration date
06/15/2011
Last updated
11/19/2015
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