Healthcare Provider Details

I. General information

NPI: 1881074110
Provider Name (Legal Business Name): MEDICAL & PSYCHIATRIC ASSOCIATES OF SOUTH TEXAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 PEASE ST
HARLINGEN TX
78550-8307
US

IV. Provider business mailing address

1300 N 10TH ST STE 330B
MCALLEN TX
78501-4392
US

V. Phone/Fax

Practice location:
  • Phone: 956-800-4014
  • Fax: 956-800-4012
Mailing address:
  • Phone: 956-800-4014
  • Fax: 956-800-4012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO KUDISCH
Title or Position: OWNER
Credential: MD
Phone: 956-800-4014