Healthcare Provider Details

I. General information

NPI: 1851638902
Provider Name (Legal Business Name): DOLORES NAVARRETE-AZIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2013
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6564 DAKOTA RIDGE DR
EL PASO TX
79912-8136
US

IV. Provider business mailing address

6564 DAKOTA RIDGE DR
EL PASO TX
79912-8136
US

V. Phone/Fax

Practice location:
  • Phone: 915-222-3925
  • Fax: 915-581-9504
Mailing address:
  • Phone: 915-222-3925
  • Fax: 915-581-9504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: