Individual
ALFRED BASIL VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
5055 MCNUTT RD, SANTA TERESA, NM 88008-9442
(505) 589-5005
(505) 589-1333
Mailing address
5547 N MESA ST, SUITE B, EL PASO, TX 79912-5422
(915) 842-0504
(915) 842-0448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
88-277
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08151
—
NM
Enumeration date
11/04/2005
Last updated
04/04/2008
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