Organization
PEDIAMED NIGHT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO ACOSTA (PRESIDENT)
(915) 227-0137
Entity
Organization
Contact information
Practice address
2931 GEORGE DIETER DR, SUITE F, EL PASO, TX 79936-2941
(915) 227-0137
Mailing address
2931 GEORGE DIETER, SUITE F, EL PASO, TX 79936-2942
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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