Sun City Sports Medicine and Family Clinic, PA
Sun City Sports Medicine and Family Clinic, PA is a Sports Medicine (Family Medicine) Physician in El Paso, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12810 Edgemere BlvdEl Paso, TX 79938-4532
Phone: (915) 504-6955
Fax: (915) 504-6954
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence P1809 (TX) |
|---|
Record details
| NPI number | 1114289956 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mauro Provencio — Md/Owner · (915) 525-3209 |
| NPI enumerated | June 7, 2012 |
| Last updated in NPPES | June 18, 2024 |
| Certification date | June 18, 2024 |
| Mailing address | 12810 Edgemere Blvd, El Paso, TX 79938-4532 |
Other providers in El Paso
-
Chenai Saaku Nettey, MD
9849 Kenworthy St, El Paso, TX 79924-4402 · (915) 215-5500
-
Roxanna Elizabeth Perez, DO
9849 Kenworthy St, El Paso, TX 79924-4402 · (915) 215-5500
-
Amanda M Smith
11851 Physicians Dr, El Paso, TX 79936-6280 · (915) 493-6646
-
Sports Medicine and Bone of El Paso, PA
2267 Trawood Dr Ste G2, El Paso, TX 79935-3027 · (915) 256-9751
-
Justin Michael Wright, MD
9849 Kenworthy St, El Paso, TX 79924-4402 · (915) 215-5500