| NPI Details | |
|---|---|
| NPI | 1003003971 |
| Gender | Male |
| Enumeration Date | 09/25/2007 |
| Last Updated | 07/25/2012 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 4800 ALBERTA AVE DEPARTMENT OF PEDIATRICS EL PASO TX, 79905-2709, US |
|
| Phone | (915) 545-8826 |
| Fax | |
| Business Location | |
|---|---|
| 4800 ALBERTA AVE DEPARTMENT OF PEDIATRICS EL PASO TX, 79905-2709, US |
|
| Phone | (915) 545-8826 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208000000X |
| License State | Texas |
| License Number | BT10028142 |
| Remove 1003003971 NPI Number | |
According to our database, Jesus Peinado Fragoso M.D. NPI is 1003003971, taxonomy code is 208000000X and license number is BT10028142, license state is located at Texas. Jesus Peinado Fragoso M.D. physically located at 4800 Alberta Ave, El Paso TX, 79905-2709. NPI Number Jesus Peinado Fragoso M.D. has the Individual type.
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1003003971 NPI number is provided on an as is basis without warranty of any kind. 1003003971 is maintained by the National Plan & Provider Enumeration System. The contents of Jesus Peinado Fragoso M.D. are for informational purposes only.
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