Sun City Sports Medicine and Family Clinic, PA
Sun City Sports Medicine and Family Clinic, PA provides Sports Medicine (Family Medicine) Physician services in El Paso, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12810 Edgemere BlvdEl Paso, TX 79938-4532
Phone: (915) 504-6955
Fax: (915) 504-6954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence P1809 (TX) |
|---|
Record details
| NPI number | 1114289956 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mauro Provencio — Md/Owner · (915) 525-3209 |
| NPI enumerated | June 7, 2012 |
| Last updated in NPPES | June 18, 2024 |
| Certification date | June 18, 2024 |
| Mailing address | 12810 Edgemere Blvd, El Paso, TX 79938-4532 |
Other providers in El Paso
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Chenai Saaku Nettey, MD
9849 Kenworthy St, El Paso, TX 79924-4402 · (915) 215-5500
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Roxanna Elizabeth Perez, DO
9849 Kenworthy St, El Paso, TX 79924-4402 · (915) 215-5500
-
Amanda M Smith
11851 Physicians Dr, El Paso, TX 79936-6280 · (915) 493-6646
-
Sports Medicine and Bone of El Paso, PA
2267 Trawood Dr Ste G2, El Paso, TX 79935-3027 · (915) 256-9751
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Justin Michael Wright, MD
9849 Kenworthy St, El Paso, TX 79924-4402 · (915) 215-5500