Basic Information
| Provider Information | |||||||||
| NPI: | 1992014468 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALEJANDRO OVALLE, M.D., P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1900 N OREGON ST | ||||||||
| Address2: | STE 600 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799023351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155444564 | ||||||||
| FaxNumber: | 9155449955 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 N OREGON ST | ||||||||
| Address2: | STE 415 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799023351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9153516600 | ||||||||
| FaxNumber: | 9153516601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2010 | ||||||||
| LastUpdateDate: | 10/01/2010 | ||||||||
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| AuthorizedOfficialLastName: | OVALLE | ||||||||
| AuthorizedOfficialFirstName: | ALEJANDRO | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9153516600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N7471 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.