Individual provider · NPI-1

Dr. Jeannie Beth Autry, MD

Pediatrics · El Paso, TX

NPI number1881951689
StatusActive
Last updated in NPPESNov 26, 2024

Details

NPI
1881951689
Entity type
Individual (NPI-1)
Name
Dr. Jeannie Beth Autry
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2012
Certification date
Nov 26, 2024
Last updated
Nov 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsBP10091310TXYes
225700000X Massage Therapist––

Practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Phone 915-215-8000

Mailing address

5001 El Paso Dr
El Paso, TX 79905-2827

Phone 915-215-4680 · Fax 915-545-6975

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