Individual
ANDRES DOMINGO BOADELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N EL PASO ST, BLDG E, EL PASO, TX 79902-3437
(915) 577-0444
Mailing address
1400 N EL PASO ST, BLDG E, EL PASO, TX 79902-3437
(915) 577-0444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P5935
TX
Other
Enumeration date
05/17/2010
Last updated
07/02/2013
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