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Organization

EL PASO SPORTS MEDICINE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD MCCARTY L.A.T. (OWNER/MEMBER ATHLETIC TRAINER)
(915) 590-9990
Entity
Organization

Contact information

Practice address
11163 LA QUINTA PL, SUITE C, EL PASO, TX 79936-5255
(915) 590-9990
(915) 590-9996
Mailing address
11163 LA QUINTA PL, SUITE C, EL PASO, TX 79936-5255
(915) 590-9990
(915) 590-9996

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AT4431
TX

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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