Individual
DR. JOSE GAVITO HIGUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-6000
(915) 545-6607
Mailing address
440 RAYNOLDS ST # 51015, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
41997 TEMPORARY
TX
2085R0202X
Diagnostic Radiology Physician
Primary
T4163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41997
TEMPORARY LICENSE
TX
Enumeration date
12/27/2007
Last updated
11/17/2021
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