Ysleta Del Sur Pueblo

NPI #1891177655 in El Paso, Texas

Provider Information

NPI Number: 1891177655
Entity Type: Organization
Organization Name: Ysleta Del Sur Pueblo
Primary Specialty: Clinic/Center - Public Health, Federal
Enumeration Date: Jun 29, 2015
Last Updated: Feb 7, 2024

Practice Location

Address: 9473 SOCORRO RD
City: El Paso
State: Texas
ZIP Code: 79907-6832
Phone: (915) 858-1076

Authorized Official

Name: MARTIN LOPEZ
Title: DIRECTOR
Phone: (915) 858-1076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Public Health, Federal — Public Health, Federal	261QP0904X	Primary

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