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Individual

DR. SANDRA MACIAS MCBRIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(915) 526-1873
(915) 526-1873
Mailing address
11400 LAKE GENEVA DR, EL PASO, TX 79936-3146
(915) 526-1873

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R7533
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R7533
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679831721
NPI
TX
Enumeration date
04/26/2012
Last updated
07/01/2018
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