Mauro Provencio M.D.

NPI # 

Practice Address:

12810 Edgemere Blvd

El Paso, TX, 79938-4532

Practice Phone:

915-504-6955

Practice Fax:

915-504-6954

License Number:

P1809

License State:

TX

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Family Medicine

Taxonomy Code:

207Q00000X

Updated by NPPES on 2/28/2024. You can view the original data set for NPI # 1952560682 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Mauro Provencio , M.D. 's

CMS CPT® coding data

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Mauro Provencio , M.D. 's

CMS prescription data

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