Organization
SERGIO B PACHECO M.D,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO BLANCO PACHECO SR. MD (OWNER)
(915) 532-1922
Entity
Organization
Contact information
Practice address
1900 N OREGON ST STE 410, EL PASO, TX 79902-3348
(915) 532-1922
(915) 242-0200
Mailing address
1900 N OREGON ST STE 410, EL PASO, TX 79902-3348
(915) 532-1922
(915) 242-0200
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
F3271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0898025-01
—
TX
Enumeration date
06/07/2010
Last updated
06/07/2010
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