WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA
Medical Practice at Hague, El Paso, TX

License number
Texas J0881
Category
Medical Practice
Type
Pediatric Hematology-Oncology
Owner
Name: MRS. ABIGAIL DOMINGUEZ
Title: OFFICE MANAGER
Phone: (915) 541-8903
Address
Address
125 W Hague Rd STE 500, El Paso, TX 79902
National Provider ID: 1205939600
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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West Texas Children's Cancer & Blood Disorders, PA

125 W Hague Rd, El Paso, TX 79902

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Dec 6, 2002
Phone:
(915) 541-8903 (Phone)
State ID:
800149783
Business type:
Professional Association
Director, Member, Officer:
Benjamin Carcamo Director, Member, Officer, inactive

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