Antonio Davalos,M.D,,P.A.
LBN: Antonio Davalos,M.D,,P.A.
Antonio Davalos,M.D,,P.A. is an health care organization with primary practice located at 10201 Gateway Blvd W Suite 410, El Paso TX 79925-7652. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty.
Antonio Davalos,M.D,,P.A. can be contacted via phone (915) 591-4467, or through Samaniego, Elvia via phone (915) 591-4467.
Contact Information
Primary practice address
10201 Gateway Blvd W Suite 410
El Paso TX 79925-7652
Phone: (915) 591-4467
Fax: (915) 590-3738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | F3834 | Texas |
Profile Details
| NPI number | 1093093593 |
|---|---|
| LBN Legal business name | Antonio Davalos,M.D,,P.A. |
| DBA Doing business as | |
| Authorized official | Samaniego, Elvia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2011 |
| Last updated | Aug 1st, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093093593 | NPPES |
| Texas | MEDICAID | 089836301 |
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