Provider Demographics
NPI:1215924121
Name:MENA, ASCENSION CONTRERAS (MD)
Entity type:Individual
Prefix:DR
First Name:ASCENSION
Middle Name:CONTRERAS
Last Name:MENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4740 CUMBERLAND CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-1926
Mailing Address - Country:US
Mailing Address - Phone:915-566-2126
Mailing Address - Fax:915-562-1866
Practice Address - Street 1:4740 CUMBERLAND CIR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-1926
Practice Address - Country:US
Practice Address - Phone:915-566-2126
Practice Address - Fax:915-562-1866
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG7278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine