Provencio Enterprises Incorporated
Provencio Enterprises Incorporated is a Psychologist in El Paso, Texas. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
5380 N Mesa St Ste 108El Paso, TX 79912-5869
Phone: (915) 613-3989
Fax: (915) 503-2737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Psychologist | Taxonomy 103T00000X |
Record details
| NPI number | 1790260107 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Griselda Oaxaca — Owner/Director · (915) 613-3989 |
| NPI enumerated | October 2, 2018 |
| Last updated in NPPES | October 2, 2018 |
| Mailing address | 5380 N Mesa St Ste 108, El Paso, TX 79912-5869 |
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