EDMUNDO CORCHADO

EL PASO, TX
NPI1639577315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: TX  1263)
Additional Taxonomies224P00000X Prosthetist
(Licence: TX  1263)
Enumeration Date2014-12-12
Last Update Date2014-12-12
Business Address
-- EDMUNDO CORCHADO LPOA
1302 N STANTON ST
EL PASO, TX 79902-4122
Phone number: 915-532-4444
Mailing Address
-- EDMUNDO CORCHADO LPOA
6219 LOS ALTOS DR
EL PASO, TX 79912-2509
Phone number: 915-204-0448
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