Individual
DINORAH JANET NUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1171 LARRY MAHAN DR, EL PASO, TX 79925-6509
(915) 532-1197
(915) 532-1198
Mailing address
1171 LARRY MAHAN DR, EL PASO, TX 79925-6509
(915) 532-1197
(915) 532-1198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L8460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161145101
—
TX
01
—
8H0704
BCBS OF TEXAS
TX
Enumeration date
06/26/2006
Last updated
05/21/2024
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