Individual
DR. CLARENCE ANTHONY PITRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10470 VISTA DEL SOL STE 208, SUITE 401, EL PASO, TX 79925
(915) 590-7773
Mailing address
10470 VISTA DEL SOL DR STE 208, EL PASO, TX 79925-7928
(915) 590-7773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096266404
—
TX
Enumeration date
10/31/2006
Last updated
02/16/2012
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