Organization
CHILDREN'S CLINIC OF EL PASO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA AZARCON-SAMONTE MD (PRESIDENT)
(915) 592-2600
Entity
Organization
Contact information
Practice address
11544 VISTA DEL SOL, BLDG. A, EL PASO, TX 79936
(915) 592-2600
(915) 592-3733
Mailing address
11544 VISTA DEL SOL, BLDG. A, EL PASO, TX 79936
(915) 592-2600
(915) 592-3733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092123101
—
TX
Enumeration date
01/29/2007
Last updated
10/10/2011
Update your record
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