Department of State Health Services

NPI #1952471443 in El Paso, Texas

Provider Information

NPI Number
1952471443
Entity Type
Organization
Organization Name
Department of State Health Services
Primary Specialty
Psychiatric Hospital
Enumeration Date
Nov 9, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4615 ALAMEDA AVE
State
Texas
ZIP Code
79905-2702
Phone
(915) 532-2202

Authorized Official

Name
MR. NICOLAS BAIDA-FRAGOSO, M.D.
Title
MEDICAL DOCTOR
Phone
(915) 532-2202

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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