Individual
EDMUNDO CORCHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPOA
Contact information
Practice address
1302 N STANTON ST, EL PASO, TX 79902-4122
(915) 532-4444
(915) 534-7626
Mailing address
6219 LOS ALTOS DR, EL PASO, TX 79912-2509
(915) 204-0448
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1263
TX
224P00000X
Prosthetist
1263
TX
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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