NPI 1104066174

Rodolfo M. Revilla, Mdpa

Organisation Obstetrics & Gynecology Physician El Paso, TX

Practice location

Address: 1600 Medical Center Dr STE 309, El Paso, TX 79902-5008
Phone: (915) 532-9100
Fax: (915) 532-9652

Authorised official

Name: Rodolfo Manuel Revilla
Title: President
Phone: (915) 532-9100

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

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Registry record

NPI: 1104066174
Entity type: Organization
NPI issued: 3 Mar 2009
Record last updated: 28 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.