Organization
EAST EL PASO FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J. LEYVA D.C. (PRESIDENT)
(915) 228-4915
Entity
Organization
Contact information
Practice address
1393 GEORGE DIETER DR STE D, EL PASO, TX 79936-7410
(915) 228-4915
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
03/19/2018
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