Individual
DR. JONATHAN GUILLERMO MARISCAL QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5862
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905
(915) 215-5862
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10061365
TX
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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