Organization
EAST DESERT OB-GYN ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO DELA ROSA IV M.D. (OWNER)
(915) 594-9600
Entity
Organization
Contact information
Practice address
10657 VISTA DEL SOL DR, SUITE F, EL PASO, TX 79935-4528
(915) 594-9600
(915) 594-9601
Mailing address
10657 VISTA DEL SOL DR, SUITE F, EL PASO, TX 79935-4528
(915) 594-9600
(915) 594-9601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L5299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164275301
—
TX
Enumeration date
07/07/2005
Last updated
01/08/2014
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