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Contact Information

ANTONIO DAVALOS,M.D,,P.A.
10201 GATEWAY BLVD W
SUITE 410
EL PASO, TX79925-7652
 Phone: 915-591-4467
 Fax: 915-590-3738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for ANTONIO DAVALOS,M.D,,P.A.

NPI # 1093093593
LBN Legal business name ANTONIO DAVALOS,M.D,,P.A.
Authorized official ELVIA SAMANIEGO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2011
Last updated 08/01/2011 - About 15 years ago
Identifiers
TX License # F3834
TX Medicaid 089836301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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