Healthcare Provider Details

I. General information

NPI: 1588820849
Provider Name (Legal Business Name): MCALLEN ORTHOPAEDIC ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 09/11/2020
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E SAVANNAH AVE BLDG B SUITE 101
MCALLEN TX
78503-1241
US

IV. Provider business mailing address

110 E SAVANNAH AVE BLDG B SUITE 101
MCALLEN TX
78503-1241
US

V. Phone/Fax

Practice location:
  • Phone: 956-686-1575
  • Fax: 956-686-8542
Mailing address:
  • Phone: 956-686-1575
  • Fax: 956-686-8542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberF9482
License Number StateTX

VIII. Authorized Official

Name: GREGORY SINCLAIR GOLDSMITH
Title or Position: MD
Credential:
Phone: 956-686-1575