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NPI Code Detail

MEDICARE: DR. SYLVIA VIKTORIA WATERS M.D.

MEDICARE: DR. SYLVIA VIKTORIA WATERS M.D.
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
1207L00000XAnesthesiology PhysicianME 83772FL
2207L00000XAnesthesiology PhysicianM2865TX

General Provider Information

NPI Number : 1023088309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYLVIA VIKTORIA WATERS M.D.
Provider Business Mailing Address
First Line : 440 RAYNOLDS ST
Second Line :
City : EL PASO
State : TX
Zip : 79905-1613
Country : US
Telephone Number : 915-215-4480
Fax Number : 915-215-5386
Provider Business Practice Location Address
First Line : 2000 TRANS MOUNTAIN RD STE A
Second Line :
City : EL PASO
State : TX
Zip : 79911-3602
Country : US
Telephone Number : 915-215-5666
Fax Number : 915-215-5047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 11/18/2019

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