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NPI Code Detail

MEDICARE: DR. LAURA MACIAS M.D.

MEDICARE: DR. LAURA MACIAS 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
1207R00000XInternal Medicine PhysicianP8271TX

General Provider Information

NPI Number : 1689995185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA MACIAS M.D.
Provider Business Mailing Address
First Line : 300 S ZARAGOZA RD
Second Line : UNIVERSITY MEDICAL CENTER
City : EL PASO
State : TX
Zip : 79907-6635
Country : US
Telephone Number : 915-790-5700
Fax Number : 915-569-3668
Provider Business Practice Location Address
First Line : 300 S ZARAGOZA RD
Second Line : UNIVERSITY MEDICAL CENTER
City : EL PASO
State : TX
Zip : 79907-6635
Country : US
Telephone Number : 915-790-5700
Fax Number : 915-569-3668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2010
Last Update Date : 06/05/2014

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