Organization
EL PASO PEDIATRIC ASSOC. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER W HOVIS (OPERATIONS MANAGER)
(915) 593-2033
Entity
Organization
Contact information
Practice address
1160 SADDLE BRONC DR, EL PASO, TX 79925-7045
(915) 593-2033
(915) 595-3916
Mailing address
1160 SADDLE BRONC DR, EL PASO, TX 79925-7045
(915) 593-2033
(915) 595-3916
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091795701
—
TX
05
—
091795702
—
TX
Enumeration date
01/05/2006
Last updated
04/12/2022
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