San Jose Moscati Medical Home
Family Medicine in El Paso, TX. Organization (NPI-2).
NPI number1801420104
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1801420104
- Entity type
- Organization (NPI-2)
- Legal business name
- San Jose Moscati Medical Home
- Organization subpart
- No
- Enumeration date
- Feb 25, 2020
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1200 Golden Key Cir Ste 230El Paso, TX 79925-5834
Phone 915-642-9220
Mailing address
1200 Golden Key Cir Ste 230El Paso, TX 79925-5834
Phone 915-642-9220
Authorized official
Martha Manquero Butler
Organizer
9153426003
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