SOUTHWEST PHYSICIAN GROUP PA
Radiology at Joe Battle Blvd, El Paso, TX

License number
Texas N2838
Category
Medical Practice
Type
Obstetrics & Gynecology
License number
Texas M7798
Category
Radiology
Type
Surgery
Owner
Name: BRENT MICHENER D.O.
Title: PHYSICIAN
Phone: (915) 855-2400
Address
Address
3270 Joe Battle Blvd, El Paso, TX 79938
National Provider ID: 1720327059
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTHWEST PHYSICIAN GROUP, PA

El Paso, TX

Industry:
Nonclassifiable Establishments
Registration:
Jan 11, 2013
Phone:
(915) 855-2400 (Phone)
Addresses:
3270 Joe Battle Blvd STE 205, El Paso, TX 79938 (Mailing)
3870 Joe Battle Blvd #205, El Paso, TX 79938
State ID:
0801716511
Business type:
Professional Association
Director, Members:
Jill Michener (Treasurer),Brent Michener (Director, Member)
TIN:
32049919528
Categories:
General Surgeons, Osteopathic Physicians & Surgeons, Physicians & Surgeons, ...

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