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1245391754
SAMUEL HUMBERTO FAVELA
EL PASO, TX
NPI
1245391754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 4576-TG)
Enumeration Date
2006-12-12
Last Update Date
2019-08-07
Business Address
Dr. SAMUEL HUMBERTO FAVELA O.D.
4532 N MESA ST STE 2A
EL PASO, TX 79912-6287
Phone number: 915-544-0326
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Mailing Address
Dr. SAMUEL HUMBERTO FAVELA O.D.
PO BOX 3157
EL PASO, TX 79923-3157
Phone number: 915-577-0051
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