IAN MARDIS

EL PASO, TX
NPI1518568419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1018941)
Enumeration Date2020-11-05
Last Update Date2020-11-13
Business Address
IAN MARDIS NP-C
12528 TIERRA ENCINO DR
EL PASO, TX 79938-4525
Phone number: 915-867-7097
Mailing Address
IAN MARDIS NP-C
12528 TIERRA ENCINO DR
EL PASO, TX 79938-4525
Phone number:
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