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Specialty details in registry · El Paso, TX

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At a glance

1395 George Dieter Dr, El Paso, TX 79936-7499

NPPES record updated Apr 14, 2025. Public records can lag behind changes at a practice.

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Practice location

1395 George Dieter Dr
El Paso, TX 79936-7499

Professional details: NPI, taxonomy & registry record

NPI1265921555

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 208100000X
Enumeration date: May 2, 2018
Record updated: Apr 14, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208100000X · Primary

License reported: R6072 TX

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1395 George Dieter Dr
El Paso, TX 79936-7499

Phone: (915) 298-7222
Fax: (817) 887-5350

Mailing address

PO BOX 674057

DALLAS, TX 752674057

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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