DAISY MARAVILLA PROKSCH

EL PASO, TX
NPI1376129858
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: TX  BP10081555)
Additional Taxonomies208600000X Surgery
(Licence: IL  125.077554)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-23
Last Update Date2022-06-15
Business Address
DAISY MARAVILLA PROKSCH MD
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-5700
Mailing Address
DAISY MARAVILLA PROKSCH MD
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-5700