Organization
VIOLETA RADENOVICH, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE HAMPEL (OFFICE ADMINISTRATOR)
(915) 577-9339
Entity
Organization
Contact information
Practice address
1250 E CLIFF DR STE 4D, EL PASO, TX 79902-4846
(915) 577-9339
(915) 541-1237
Mailing address
1250 E CLIFF DR STE 4D, EL PASO, TX 79902-4846
(915) 577-9339
(915) 541-1237
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
K0160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126563902
—
TX
01
—
K0160
MEDICAL LICENSE
—
Enumeration date
11/21/2011
Last updated
11/21/2011
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