Rodolfo M. Revilla, Mdpa

NPI #1104066174 in El Paso, Texas

Provider Information

NPI Number: 1104066174
Entity Type: Organization
Organization Name: Rodolfo M. Revilla, Mdpa
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 3, 2009
Last Updated: Sep 28, 2010

Practice Location

Address: 1600 MEDICAL CENTER DR STE 309
City: El Paso
State: Texas
ZIP Code: 79902-5008
Phone: (915) 532-9100

Authorized Official

Name: DR. RODOLFO MANUEL REVILLA, M.D.
Title: PRESIDENT
Phone: (915) 532-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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