DESERT MOUNTAIN OBSTETRICS & GYNECOLOGY P A NPI 1801018395

NPI Information

DESERT MOUNTAIN OBSTETRICS & GYNECOLOGY P A is an obstetrics obstetrics gynecology in El Paso, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DESERT MOUNTAIN OBSTETRICS & GYNECOLOGY P A NPI is 1801018395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 E SCHUSTER AVE STE 5A
EL PASO, TX
ZIP 79902-658
Phone: (915) 545-1200
Fax: (915) 545-1363

The provider's authorized official is Cynthia L Juarez .
The authorized official title is Office Administrator and has the following contact phone number (915) 545-1200.

The CLIA number assigned to this NPI record is 45D0979393 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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