Montana Pediatric Night Clinic PA

NPI #1104231596 in El Paso, Texas

Provider Information

NPI Number: 1104231596
Entity Type: Organization
Organization Name: Montana Pediatric Night Clinic PA
Primary Specialty: Pediatrics
Enumeration Date: Jun 24, 2014
Last Updated: Jun 24, 2014

Practice Location

Address: 11800 MONTANA AVE
City: El Paso
State: Texas
ZIP Code: 79936-1501
Phone: (915) 546-4140

Authorized Official

Name: DR. STANLEY USEN, MD
Title: PRESIDENT
Phone: (915) 546-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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