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NPI 1144596727

NPI 1144596727 : FAMILY MEDICINE OF WEST TEXAS PLLC : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1144596727
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY MEDICINE OF WEST TEXAS PLLC 
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Dates
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    Enumeration Date     |    03/28/2012
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    7236 N MESA ST 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79912-3653
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    Country              |    US
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    Telephone            |    915-581-6405
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    Fax                  |    915-581-6409
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Provider Business Mailing Address
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    Address Line         |    4445 N MESA ST STE 122 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79902-1117
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    Country              |    US
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    Telephone            |    915-219-4300
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    Fax                  |    915-519-4300
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |     XAVIER  MUNOZ 
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    Credential           |    D.O.
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    Telephone            |    915-581-6405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    L5477
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    License Number State |    TX
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