Organization
SOUTHWEST HCP ACCESS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BRAVO (BILLING MANAGER)
(915) 751-1152
Entity
Organization
Contact information
Practice address
655 E REDD RD STE 201, EL PASO, TX 79912-1242
(915) 303-5522
Mailing address
4659 COHEN AVE UNIT C, EL PASO, TX 79924-4430
(915) 751-1152
(915) 751-1161
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
L4382
TX
Other
Enumeration date
03/24/2015
Last updated
07/17/2024
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