Healthcare Provider Details

I. General information

NPI: 1841200805
Provider Name (Legal Business Name): MCALLEN ANESTHESIA CONSULTANTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 S MCCOLL RD
EDINBURG TX
78539-9152
US

IV. Provider business mailing address

PO BOX 3449
MCALLEN TX
78502-3449
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0529
  • Fax: 956-618-4639
Mailing address:
  • Phone: 956-661-0529
  • Fax: 956-618-4639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG6511
License Number StateTX

VIII. Authorized Official

Name: IRENE LOPEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 956-661-0529