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Organization

MINDADL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UCHECHI DIBIA (OWNER)
(915) 345-3579
Entity
Organization

Contact information

Practice address
11860 VISTA DEL SOL DR STE 132, EL PASO, TX 79936-6128
(985) 288-8793
Mailing address
11860 VISTA DEL SOL DR STE 132, EL PASO, TX 79936-6128

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/08/2025
Last updated
12/09/2025
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