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NPI Code Detail

MEDICARE: MRS. MELISSA R HOLGUIN

MEDICARE: MRS. MELISSA R HOLGUIN
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
1363AM0700XMedical Physician AssistantPA04664TX

General Provider Information

NPI Number : 1851343461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA R HOLGUIN
Provider Business Mailing Address
First Line : 7430 REMCON CIR
Second Line : SUITE B110
City : EL PASO
State : TX
Zip : 79912-3514
Country : US
Telephone Number : 915-544-2455
Fax Number : 915-544-3149
Provider Business Practice Location Address
First Line : 2260 TRAWOOD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-3040
Country : US
Telephone Number : 915-591-4436
Fax Number : 915-591-4531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/08/2012

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Directions to “ MRS. MELISSA R HOLGUIN ” Practice Location

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