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NPI Code Detail

MEDICARE: HECTOR GRANADOS MD PA

MEDICARE: HECTOR GRANADOS MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian
2363LP0200XPediatric Nurse Practitioner
32080P0205XPediatric Endocrinology Physician

General Provider Information

NPI Number : 1902379670
Entity Type Code : Organization
Provider Name (Legal Business Name) : HECTOR GRANADOS MD PA
Provider Business Mailing Address
First Line : 12220 RC POE RD STE A
Second Line :
City : EL PASO
State : TX
Zip : 79938-4921
Country : US
Telephone Number : 915-642-9444
Fax Number : 915-800-8570
Provider Business Practice Location Address
First Line : 12220 RC POE RD STE A
Second Line :
City : EL PASO
State : TX
Zip : 79938-4921
Country : US
Telephone Number : 915-642-9444
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : HECTOR GRANADOS
Credential : MD
Telephone Number : 915-642-9444
Provider Enumeration Date : 01/05/2019
Last Update Date : 07/03/2025

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Practice Location Address:
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1336568708 — SANJEET S SANDHU D.O.
Practice Location Address:
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1164871976 — YEZIKA ANITZA DELGADO RIOS
Practice Location Address:
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79938-4921
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Practice Fax:
1225591829 — YEZIKA DELGADO MD PA
Practice Location Address:
12220 RC POE RD STE A
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79938-4921
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Practice Fax: 915-800-8570

Directions to “HECTOR GRANADOS MD PA ” Practice Location

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