Healthcare Provider Details

I. General information

NPI: 1538130521
Provider Name (Legal Business Name): ROBERTO A ARGUELLO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 06/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 S 1ST ST SUITE 100
MCALLEN TX
78503-1255
US

IV. Provider business mailing address

1910 S 1ST ST SUITE 100
MCALLEN TX
78503-1255
US

V. Phone/Fax

Practice location:
  • Phone: 956-687-8475
  • Fax: 956-687-4663
Mailing address:
  • Phone: 956-687-8475
  • Fax: 956-687-4663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG6260
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: