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Individual

EDUARDO MARISCAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1122 MONTANA AVE STE A, EL PASO, TX 79902-5510
(915) 307-5796
Mailing address
1122 MONTANA AVE STE A, EL PASO, TX 79902-5510
(915) 307-5796

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1072816
TX

Other

Enumeration date
03/18/2022
Last updated
03/19/2026
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