Individual
JOSE J. MONSIVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10175 GATEWAY BLVD W, SUITE 230, EL PASO, TX 79925-7618
(915) 590-3666
(915) 590-3667
Mailing address
10175 GATEWAY BLVD W, SUITE 230, EL PASO, TX 79925-7618
(915) 590-3666
(915) 590-3667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G9625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133356906
—
TX
01
—
84T300
BLUE CROSS BLUE SHIELD
TX
01
—
X3031
MEDICAID
NM
Enumeration date
07/07/2005
Last updated
06/10/2010
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