| Doctor Name: | ALFRED BASIL VARELA |
| NPI Number: | 1699766816 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D, |
| License Number: | 88-277 |
| Business Practice Address: | 5055 Mcnutt Rd Santa Teresa, NM - 880089442 |
| Business Phone Number: | 5055895005 |
| Business Fax Number: | 5055891333 |
| Mailing Address: | 5547 N Mesa St, Suite B EL PASO |
| State: | TX |
| Postal Code: | 799125422 |
| Phone Number: | 9158420504 |
| Fax Number: | 9158420448 |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 04/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 88-277 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |