Rodolfo M. Revilla, Mdpa

NPI 1104066174 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1104066174
Enumeration Date 03/03/2009
Last Updated 09/28/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RODOLFO MANUEL RODOLFO
Position PRESIDENT
Phone (915) 532-9100
Fax (915) 532-9652
Practice Location
1600 MEDICAL CENTER DR STE 309
EL PASO TX, 79902-5008, US
Phone (915) 532-9100
Fax (915) 532-9652
Business Location
1600 MEDICAL CENTER DR STE 309
EL PASO TX, 79902-5008, US
Phone (915) 532-9100
Fax (915) 532-9652
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Rodolfo M. Revilla, Mdpa NPI is 1104066174, taxonomy code is 207V00000X Rodolfo M. Revilla, Mdpa physically located at 1600 Medical Center Dr Ste 309, El Paso TX, 79902-5008. NPI Number 1033115704 has the healthcare provider type.

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1104066174 NPI number is provided on an as is basis without warranty of any kind. 1104066174 is maintained by the National Plan & Provider Enumeration System. The contents of Rodolfo M. Revilla, Mdpa are for informational purposes only.