Healthcare Provider Details

I. General information

NPI: 1669574927
Provider Name (Legal Business Name): ALDO H. ALEGRIA MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N PALMVIEW DR SUITE 6
PALMVIEW TX
78572-8735
US

IV. Provider business mailing address

315 N PALMVIEW DR SUITE 6
PALMVIEW TX
78572-8735
US

V. Phone/Fax

Practice location:
  • Phone: 956-424-3500
  • Fax: 956-585-3281
Mailing address:
  • Phone: 956-424-3500
  • Fax: 956-585-3281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE9507
License Number StateTX

VIII. Authorized Official

Name: DR. ALDO H ALEGRIA
Title or Position: PRESIDENT
Credential: MD
Phone: 956-424-3500