Organization
I VASCULAR CENTER OF EL PASO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANWAR GERGES MD (MEDICAL OWNER)
(210) 240-9996
Entity
Organization
Contact information
Practice address
11989 PELLICANO DR STE D, EL PASO, TX 79936-6288
(210) 240-9996
Mailing address
19234 STONEHUE, SAN ANTONIO, TX 78258-3477
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
J5769
TX
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117880808
—
TX
Enumeration date
06/30/2017
Last updated
06/30/2017
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