Individual
MR. JESSE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
5005 N PIEDRAS ST, WBAMC, EL PASO, TX 79920-5001
(915) 569-1233
Mailing address
5005 N PIEDRAS ST, WBAMC, EL PASO, TX 79920-5001
(915) 569-1233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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