5000 Doniphan PLLC
Clinic/Center, Dental in El Paso, TX. Organization (NPI-2).
NPI number1669167128
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1669167128
- Entity type
- Organization (NPI-2)
- Legal business name
- 5000 Doniphan PLLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- Apr 10, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- West El Paso Dentist (Doing Business As)
Practice location
5000 Doniphan Dr Ste 101El Paso, TX 79932-1603
Phone 915-285-0615
Mailing address
10510 Montwood Dr Ste BEl Paso, TX 79935-2717
Phone 915-219-4713
Authorized official
Heather Cordova
Operations Manager
9154908698
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