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Individual

DR. ANDRES S ENRIQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
836 E REDD RD, EL PASO, TX 79912-7221
(915) 833-8444
(915) 833-8767
Mailing address
553 CANYON SPRINGS, EL PASO, TX 79912
(915) 478-2400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7149
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0096ER
BLUE CROSS BLUE SHILD
TX
01
080165782
MEDICARE RAILROAD
TX
01
178232700
OWCP DOL
TX
01
2032372
UNITED HEALTH CARE
TX
01
628635
ANTHEM BX
TX
01
8A3420
BLUE CROSS BLUE SHILD
TX
01
MDK7149
WORKERS COMPENSATION
TX
01
NM009379
BLUE CROSS BLUE SHILD NM
NM
01
P2139868
OXFORD INSURANCE
Enumeration date
08/13/2006
Last updated
09/08/2022
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