Organization
VILLA PAIN INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY DE LA CRUZ MD (CHIEF EXECUTIVE OFFICER)
(978) 701-1754
Entity
Organization
Contact information
Practice address
7812 GATEWAY BLVD E STE 230, EL PASO, TX 79915-1837
(833) 339-7246
(915) 257-6302
Mailing address
5850 N MESA ST STE A, EL PASO, TX 79912-4682
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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