Organization
RIO GRANDE UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEPHTALI MATTA (CEO)
(915) 532-8823
Entity
Organization
Contact information
Practice address
7420 REMCON CIR, BLDG A, EL PASO, TX 79912
(915) 532-8823
(915) 532-5909
Mailing address
7420 REMCON CIR, BLDG A, EL PASO, TX 79912
(915) 532-8823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
08/13/2013
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