Organization
EL PASO KIDNEY SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO RAUDALES MD (MEDICAL DOCTOR PRESIDENT)
(915) 544-4500
Entity
Organization
Contact information
Practice address
1601 BROWN ST, EL PASO, TX 79902-4724
(915) 544-4500
(915) 544-4572
Mailing address
1601 BROWN ST, EL PASO, TX 79902-4724
(915) 544-4500
(915) 544-4572
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161379601
—
TX
05
—
1881680155
—
TX
Enumeration date
09/22/2005
Last updated
03/11/2025
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