Organization · Type 2 NPI
Provencio Enterprises Incorporated
Clinic/Center · El Paso, TX
NPI number
1790260107
Active
Practice location
5380 N Mesa St Ste 108
El Paso, TX 79912-5869
Fax (915) 503-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1790260107
Provencio Enterprises Incorporated's National Provider Identifier is 1790260107, issued on Oct 2, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in El Paso, TX. The record was last updated on Oct 2, 2018.