Individual
JULIAN ROBERTO PANIAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 NORTHERN PASS DR STE B-2, EL PASO, TX 79911-7211
(915) 321-5057
(915) 321-5058
Mailing address
6000 NORTHERN PASS DR STE B-2, EL PASO, TX 79911-7211
(915) 321-5057
(915) 321-5058
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2007-0740
NM
208000000X
Pediatrics Physician
Primary
N0342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103740001
—
TX
05
—
U2226
—
NM
Enumeration date
09/14/2007
Last updated
10/30/2020
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