Organization
BORDER PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN R RONCALLO M.D. (PRESIDENT)
(915) 532-9000
Entity
Organization
Contact information
Practice address
4500 N MESA ST, EL PASO, TX 79912-6102
(915) 532-9000
(915) 532-9006
Mailing address
4500 N MESA ST, EL PASO, TX 79912-6102
(915) 532-9000
(915) 532-9006
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
K9162
TX
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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