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NPI Code Detail

MEDICARE: HECTOR MANUEL GRANADOS MD

MEDICARE: HECTOR MANUEL GRANADOS MD
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
1208000000XPediatrics PhysicianP7640TX
22080P0205XPediatric Endocrinology PhysicianP7640TX

General Provider Information

NPI Number : 1154616068
Entity Type Code : Individual
Provider Name (Legal Business Name) : HECTOR MANUEL GRANADOS MD
Provider Business Mailing Address
First Line : 12220 RC POE RD STE A
Second Line :
City : EL PASO
State : TX
Zip : 79938-4921
Country : US
Telephone Number : 915-642-9444
Fax Number :
Provider Business Practice Location Address
First Line : 12220 RC POE RD STE A
Second Line :
City : EL PASO
State : TX
Zip : 79938-4921
Country : US
Telephone Number : 915-642-9444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 07/03/2025

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Directions to “ HECTOR MANUEL GRANADOS MD” Practice Location

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