Organization
BORDER KIDNEY SPECIALIST, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME GONZALEZ MD (OWNER)
(915) 231-6671
Entity
Organization
Contact information
Practice address
2270 JOE BATTLE BLVD, SUITE O, EL PASO, TX 79938-2609
(915) 231-6671
(915) 231-6681
Mailing address
2270 JOE BATTLE BLVD, SUITE O, EL PASO, TX 79938-2609
(915) 231-6671
(915) 231-6681
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
Q3192
TX
Other
Enumeration date
05/12/2016
Last updated
10/07/2016
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