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Contact Information

ROBERTA L FENNIG, DO
6955 N MESA ST
SUITE 113
EL PASO, TX79912-4442
 Phone: 915-545-1509
 Fax: 915-544-5357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ROBERTA L FENNIG · (Female)

NPI # 1376552612
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/05/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # J2873
  • NM Medicaid E0694
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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