MAURO PROVENCIO

EL PASO, TX
NPI1952560682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  P1809)
Enumeration Date2008-06-06
Last Update Date2024-02-28
Business Address
Dr. MAURO PROVENCIO M.D.
12810 EDGEMERE BLVD
EL PASO, TX 79938-4532
Phone number: 915-504-6955
Mailing Address
Dr. MAURO PROVENCIO M.D.
12810 EDGEMERE BLVD
EL PASO, TX 79938-4532
Phone number: 915-504-6955
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