Organization
DEL SOL MEDICAL LLC
Active
Other names
DEL SOL MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP GARZA RODRIQUEZ FNP (OWNER)
(505) 364-6804
Entity
Organization
Contact information
Practice address
6070 GATEWAY BLVD E STE 100, EL PASO, TX 79905-2027
(915) 228-3665
(915) 228-3666
Mailing address
6070 GATEWAY BLVD E STE 100, EL PASO, TX 79905-2027
(915) 228-3665
(915) 228-3666
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0915581
AANP CERTIFICATE
TX
Enumeration date
11/17/2022
Last updated
08/06/2023
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