Individual
KARL MAX RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 W OVERLAND AVE, EL PASO, TX 79901-1085
(915) 373-1230
Mailing address
500 W OVERLAND AVE, EL PASO, TX 79901-1085
(915) 373-1230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-6404
NC
363AM0700X
Medical Physician Assistant
Primary
PA14624
TX
363AM0700X
Medical Physician Assistant
PA64213
CA
Other
Enumeration date
12/20/2012
Last updated
10/28/2024
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