Organization
DESERT MOUNTAIN OBSTETRICS & GYNECOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA L JUAREZ (OFFICE ADMINISTRATOR)
(915) 545-1200
Entity
Organization
Contact information
Practice address
1201 E SCHUSTER AVE STE 5A, EL PASO, TX 79902-4658
(915) 545-1200
(915) 545-1363
Mailing address
1201 E SCHUSTER AVE STE 5A, EL PASO, TX 79902-4658
(915) 545-1200
(915) 545-1363
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
J8177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027GW
BCBSTX
TX
05
—
100208101
—
TX
01
—
201012673
PRESBYTERIAN SALUD
NM
01
—
L4056
ACS NM
NM
Enumeration date
05/03/2007
Last updated
11/08/2012
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