Provider Demographics
NPI:1164919593
Name:GODINEZ OROZCO, LUCIA EUNICE (NP)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:EUNICE
Last Name:GODINEZ OROZCO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:4849 N MESA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5919
Mailing Address - Country:US
Mailing Address - Phone:915-351-6600
Mailing Address - Fax:915-351-6601
Practice Address - Street 1:1625 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5005
Practice Address - Country:US
Practice Address - Phone:915-546-9200
Practice Address - Fax:915-577-2940
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2022-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP137331363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP137331OtherADULT GERONTOLOGY ACUTE CARE NURSE PRACTITIONER