JORGE ADRIAN MANCILLA

EL PASO, TX
NPI1013665926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1072619)
Enumeration Date2022-03-10
Last Update Date2022-03-10
Business Address
JORGE ADRIAN MANCILLA NP
2400 TRAWOOD DR
EL PASO, TX 79936-4168
Phone number: 915-599-6735
Mailing Address
JORGE ADRIAN MANCILLA NP
201 E MAIN DR STE 600
EL PASO, TX 79901-1385
Phone number: 915-887-3410