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NPI Code Detail

MEDICARE: MARIA ANTONIETA ROBLES-SAMANIEGO L.P.C.

MEDICARE: MARIA ANTONIETA ROBLES-SAMANIEGO L.P.C.
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
1101Y00000XCounselor19353TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17290LCOTHERTXBXBS

General Provider Information

NPI Number : 1689765810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ANTONIETA ROBLES-SAMANIEGO L.P.C.
Provider Business Mailing Address
First Line : 2730 MOUNTAIN AVE
Second Line :
City : EL PASO
State : TX
Zip : 79930-3811
Country : US
Telephone Number : 915-252-5889
Fax Number :
Provider Business Practice Location Address
First Line : 2730 MOUNTAIN AVE
Second Line :
City : EL PASO
State : TX
Zip : 79930-3811
Country : US
Telephone Number : 915-252-5889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ MARIA ANTONIETA ROBLES-SAMANIEGO L.P.C.” Practice Location

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