Healthcare Provider Details

I. General information

NPI: 1356433379
Provider Name (Legal Business Name): MCALLEN GASTROENTEROLOGY CLINIC LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S JACKSON RD STE 11
MCALLEN TX
78503
US

IV. Provider business mailing address

1900 S JACKSON RD STE 11
MCALLEN TX
78503-1589
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-1333
  • Fax: 956-661-1334
Mailing address:
  • Phone: 956-661-1333
  • Fax: 956-661-1334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: FATIH OZCELEBI
Title or Position: MANAGER
Credential: M.D.
Phone: 956-661-1333