ANTONIO DAVALOS,M.D,,P.A.
Medical Practice at Gateway Blvd, El Paso, TX

License number
Texas F3834
Category
Medical Practice
Type
Legal Medicine
Owner
Name: MRS. ELVIA SAMANIEGO
Title: OFFICE MANAGER
Phone: (915) 591-4467
Address
Address
10201 Gateway Blvd W SUITE 410, El Paso, TX 79925
National Provider ID: 1093093593
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANTONIO DAVALOS, M.D., PA

El Paso, TX

Status:
Inactive
Industry:
Medical Doctor's Office, Surgeons
Doing business as:
Antonio Davalos<br>Antonio Davalos, M.D., PA<br>Antonio Davalos MD,PA
Registration:
Oct 29, 1982
Phone:
(915) 591-4467 (Phone)
Addresses:
PO Box 920265, El Paso, TX 79902 (Mailing)
10201 Gtwy Blvd W, El Paso, TX 79925
State ID:
0080887403
Business type:
Professional Association
Medical Doctor, Owner, Physician Assistant, Surgeon, President , Treasurer , Secretary , Director , Member , Vice-Presidents:
Elvia Samaniego Manager, Office Manager, inactive,Antonio Davalos Medical Doctor, Owner, Physician Assistant, Surgeon, President , Treasurer , Secretary , Director , Member , Vice-President, inactive
TIN:
32036040825

ANTONIO DAVALOS, M.D., PA

El Paso, TX

Status:
Inactive
Doing business as:
Antonio Davalos, M.D., PA
Registration:
Oct 29, 1982
Addresses:
PO Box 920265, El Paso, TX 79902 (Mailing)
10201 Gtwy W, El Paso, TX 79925
State ID:
0080887403
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Antonio Davalos (President , Treasurer , Secretary , Director , Member , Vice-President)
TIN:
32036040825

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