Individual
LEOPOLDO VIRGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 MONTANA AVE STE G&H, EL PASO, TX 79925-2155
(915) 838-7604
(915) 772-4633
Mailing address
6601 MONTANA AVE STE G&H, EL PASO, TX 79925-2155
(915) 838-7604
(915) 772-4633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114063
TX
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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