Healthcare Provider Details

I. General information

NPI: 1093598997
Provider Name (Legal Business Name): KAROL JUDITH BRITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3612 PERA AVE
EL PASO TX
79905-2412
US

IV. Provider business mailing address

3600 N GARFIELD ST
MIDLAND TX
79705-6329
US

V. Phone/Fax

Practice location:
  • Phone: 915-465-1191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: