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Dr. Carlos Javier Pacheco Agosto SR.
Student in an Organized Health Care Education/Training Program in El Paso, Texas
NPI 1134779465

Carlos Javier Pacheco Agosto SR. is a Student in an Organized Health Care Education/Training Program based in El Paso, TX. Carlos Javier Pacheco Agosto SR. practices in El Paso, TX. The NPI Number for Carlos Javier Pacheco Agosto SR. is 1134779465 and holds a License No. (Texas).

The current practice location address for Carlos Javier Pacheco Agosto SR. is 10175 Gateway Blvd W Ste 100, El Paso, TX and can be reached out via phone at 915-283-3953.

Location: 10175 Gateway Blvd W Ste 100, El Paso, TX, 79925-7618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134779465
Provider Name
Carlos Javier Pacheco Agosto SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
10175 Gateway Blvd W Ste 100, El Paso, TX, 79925-7618
Phone Number
915-283-3953
Fax Number
Provider Enumeration Date
09/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10175 Gateway Blvd W Ste 100
City
El Paso
State
Texas
Zip
79925-7618
Phone Number
915-283-3953
Fax Number
person
Provider Business Mailing Address Details
Address
10175 Gateway Blvd W Ste 100
City
El Paso
State
Texas
Zip
79925-7618
Phone Number
915-283-3953
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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