Organization
PALLIATIVE COALITION PLLC
Active
Organization
PALLIATIVE COALITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BURGOS (OWNER)
(915) 307-4669
Entity
Organization
Contact information
Practice address
2121 WYOMING AVE, EL PASO, TX 79903-3508
(915) 307-4669
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/27/2023
Last updated
03/25/2024
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