Individual
JEFFREY EVERETT TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 N STANTON ST, EL PASO, TX 79902-3211
(915) 533-0800
(915) 533-0885
Mailing address
7420 REMCON CIR STE A, EL PASO, TX 79912-3537
(915) 532-8823
(915) 532-5909
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K4260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103498501
—
TX
Enumeration date
05/26/2006
Last updated
07/01/2013
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