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General NPI Number Information
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NPI Number | 1114031887
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Entity Type | Organization
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Legal Business Name | EDINBURG MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 1200 S 10TH AVE
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City | EDINBURG
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State | TX
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Zip | 78539-5516
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Country | US
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Telephone | 956-383-2761
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Fax | 956-380-4022
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Provider Business Mailing Address
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Address Line | 1200 S 10TH AVE
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City | EDINBURG
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State | TX
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Zip | 78539-5516
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Country | US
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Telephone | 956-383-2761
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Fax | 956-380-4022
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Authorized Official
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Title or Position | SEC/TREASURER
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Name | ROLANDO YARRITU
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Credential | M.D.
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Telephone | 956-383-2761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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