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General NPI Number Information
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NPI Number | 1780797431
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Entity Type | Organization
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Legal Business Name | SOUTHWEST RETINA CONSULTANTS, P.A.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1700 CURIE DR STE 3800
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City | EL PASO
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State | TX
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Zip | 79902-2985
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Country | US
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Telephone | 915-532-3912
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Fax | 915-542-3436
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Provider Business Mailing Address
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Address Line | 1700 CURIE, SUITE #3800
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City | EL PASO
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State | TX
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Zip | 79902
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Country | US
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Telephone | 915-532-3912
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Fax | 915-542-3436
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Authorized Official
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Title or Position | MANAGER
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Name | AIDA URIAS
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Credential |
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Telephone | 915-532-3912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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