Organization
EL PASO CBOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT)
(202) 254-0339
Entity
Organization
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-0201
(915) 564-3746
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-0201
(915) 564-3746
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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