Individual
MR. SERGIO ENRIQUE CARRILLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 298-5444
Mailing address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 298-5444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1115821
TX
363LF0000X
Family Nurse Practitioner
1115821
TX
Other
Enumeration date
06/20/2023
Last updated
10/20/2023
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