Individual
ALEJANDRO MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12621 TIERRA FRESA WAY, EL PASO, TX 79938-4833
(915) 269-0872
Mailing address
12621 TIERRA FRESA WAY, EL PASO, TX 79938-4833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1006148
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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