Individual
NICOLAS BAIDA-FRAGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 DENVER AVE, EL PASO, TX 79902-3008
(915) 544-4000
Mailing address
1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5692
(915) 671-1371
(915) 219-9022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J3970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169279001
—
TX
Enumeration date
05/14/2007
Last updated
10/05/2022
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