Healthcare Provider Details

I. General information

NPI: 1730417841
Provider Name (Legal Business Name): CROWN ORTHOPEDICS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2009
Last Update Date: 03/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 BUDDY OWENS AVE
MCALLEN TX
78504-5427
US

IV. Provider business mailing address

2501 BUDDY OWENS AVE
MCALLEN TX
78504-5427
US

V. Phone/Fax

Practice location:
  • Phone: 956-631-6109
  • Fax:
Mailing address:
  • Phone: 956-631-6109
  • Fax: 956-631-6125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JORGE E TIJMES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 956-631-6109