Healthcare Provider Details

I. General information

NPI: 1194792622
Provider Name (Legal Business Name): ORLANDO S. TIJERINA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ORLANDO S TIJERINA M.D.

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E SAVANNAH AVE STE 3
MCALLEN TX
78503-1728
US

IV. Provider business mailing address

1200 E SAVANNAH AVE STE 3
MCALLEN TX
78503-1728
US

V. Phone/Fax

Practice location:
  • Phone: 956-328-0881
  • Fax: 956-620-9708
Mailing address:
  • Phone: 956-328-0881
  • Fax: 956-630-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberL2797
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: