Organization
ST FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ENGRACIA DEL ROCIO VAZQUEZ RN (OWNER)
(915) 599-9993
Entity
Organization
Contact information
Practice address
1470 GEORGE DIETER DR, SUITE F, EL PASO, TX 79936-7678
(915) 599-9993
(915) 599-9050
Mailing address
1470 GEORGE DIETER DR, SUITE F, EL PASO, TX 79936-7678
(915) 599-9993
(915) 599-9050
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
614032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614032
614032 TX RN NUMBER
TX
Enumeration date
10/24/2012
Last updated
10/24/2012
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