Healthcare Provider Details

I. General information

NPI: 1164652533
Provider Name (Legal Business Name): JOSE A. LLINAS CEPEDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4113 CROSSPOINT BLVD STE 11
EDINBURG TX
78539-1803
US

IV. Provider business mailing address

7017 N 10TH ST. SUITE N-2 #218
MCALLEN TX
78504
US

V. Phone/Fax

Practice location:
  • Phone: 956-603-1555
  • Fax:
Mailing address:
  • Phone: 956-603-1555
  • Fax: 956-800-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberP8383
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: