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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
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