St. Jude's Family and Pediatric Clinic Pllc

NPI #1023775905 in El Paso, Texas

Provider Information

NPI Number: 1023775905
Entity Type: Organization
Organization Name: St. Jude's Family and Pediatric Clinic Pllc
Primary Specialty: Pediatrics
Enumeration Date: Nov 26, 2021
Last Updated: Mar 2, 2023

Practice Location

Address: 5140 MONTANA AVE
City: El Paso
State: Texas
ZIP Code: 79903-4904
Phone: (915) 544-8844

Authorized Official

Name: ANNETTE C GRIEGO, ARNP
Title: CEO
Phone: (915) 544-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X	Primary

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