Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAURO PROVENCIO, M.D.
ActiveDR. MAURO PROVENCIO, M.D. is a Family Medicine healthcare provider located in EL PASO, Texas. NPI 1952560682 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EL PASO, TX
Registration Details
- NPI Number
- 1952560682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2008 (18.185269198083 yrs)
- Last Updated
- Feb 28, 2024
- License
-
P1809 (TX)
Practice Information
- Address
-
12810 EDGEMERE BLVDEL PASO, TX, 799384532Browse TX providers · Browse ZIP 79938
- Phone
- 9155046955
- Fax
- 9155046954
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in EL PASO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. RAFAEL ARMENDARIZ | D.O. | 1346243235 |
| DR. HECTOR LOPEZ | D.O. | 1346243847 |
| RONALD FREDRICK BAKER | MD | 1427052042 |
| DR. GEORGE WALKER JACKSON | MD | 1962406694 |
| DR. VERNOY ANTHONY WALKER | MD | 1538164215 |
| DR. LORENA GOMEZ | MD | 1801891486 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.