Organization
EL PASO PRIMARY HEALTHCARE PHYSICIAN
Active
Other names
Physicians Healthcare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA TRILLO (OFFICE MANAGER)
(915) 855-7900
Entity
Organization
Contact information
Practice address
1418 GEORGE DIETER DR, SUITE B, EL PASO, TX 79936-7601
(915) 855-7900
(915) 855-7755
Mailing address
1418 GEORGE DIETER DR, SUITE B, EL PASO, TX 79936-7601
(915) 855-7900
(915) 855-7755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J2933
TX
207Q00000X
Family Medicine Physician
L5234
TX
207R00000X
Internal Medicine Physician
Primary
E5012
TX
Other
Enumeration date
01/15/2007
Last updated
04/20/2008
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