NPI Provider: 1174529945
Contact Name: Gomez Victor
Position: Owner
Phone: (915) 593-3556
Vanval Enterprise Information:
Vanval Enterprise organization have npi 1174529945, taxonomy code is 332B00000X with license number is 55163 in . This Business address located in 1560 Goodyear Dr, El Paso, TX 79936 Texas.
Practice Location
Address: 1560 Goodyear Dr, El Paso, TX 79936
Phone: (915) 593-3556
Business Location
Address: 1560 Goodyear Dr, El Paso, TX 79936
Phone: (915) 593-3556
Fax: (915) 595-6556
Taxonomy
Taxonomy Code: 332B00000X
License Number: 55163
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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