Antonio Davalos,M.D,,P.a.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

F3834 Issued in TX

Legal business name

ANTONIO DAVALOS,M.D,,P.A.

Practice address

10201 Gateway Blvd W
Suite 410
El Paso, TX 79925-7652

Phone

(915) 591-4467

Fax

(915) 590-3738

NPI assigned

Aug 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elvia Samaniego

Title

Office Manager

Phone

(915) 591-4467

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1093093593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY BLVD W",
            "address_2": "SUITE 410",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257652",
            "telephone_number": "915-591-4467",
            "fax_number": "915-590-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY BLVD W",
            "address_2": "SUITE 410",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257652",
            "telephone_number": "915-591-4467",
            "fax_number": "915-590-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO DAVALOS,M.D,,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "ELVIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-591-4467",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "F3834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089836301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irfan Mohammed Ansari, MD
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• Dalia Antebi-Lerman
• Anthony F. Valdez, M.D., P.a. (International Institute of Pain Management)
• Debra Anthony
• Antonio M Ortega MD PA
• Antonio Soegaard-Torres MD, PA
• Paul Ernest Antoniou, LCSW
• Nishaal Antony, M.D.
• Suresh J Antony, M.D.

• Legal Medicine in El Paso, TX
• Providers in El Paso, TX by specialty
• Legal Medicine in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.