NPI 1336121490

Montana Medical Clinic-Manuel Hernandez,m.D.

Organisation Preferred Provider Organization El Paso, TX

Practice location

Address: 2415 Montana Ave, El Paso, TX 79903-3605
Phone: (915) 533-3353
Fax: (915) 544-4353

Authorised official

Name: Manuel Hernandez
Title: Nuerophychiatry - General Practice
Phone: (915) 533-3353

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence C5088 (TX)

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Registry record

NPI: 1336121490
Entity type: Organization
NPI issued: 15 Nov 2005
Record last updated: 1 Aug 2007

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.