Healthcare Provider Details

I. General information

NPI: 1215669528
Provider Name (Legal Business Name): GELMAN VISION SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 06/27/2022
Certification Date: 06/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 N G ST
MCALLEN TX
78504
US

IV. Provider business mailing address

5201 N G ST
MCALLEN TX
78504-4887
US

V. Phone/Fax

Practice location:
  • Phone: 956-305-5795
  • Fax: 956-800-4597
Mailing address:
  • Phone: 956-305-5795
  • Fax: 956-800-4597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JANETTE MARISOL ARREDONDO
Title or Position: OFFICE MANAGER
Credential:
Phone: 956-305-5788