=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639392665
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HECTOR URRUTIA MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2007
-----------------------------------------------------
Last Update Date | 02/10/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1801 S 5TH ST SUITE 130
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78503-2927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-687-7863
-----------------------------------------------------
Fax | 956-687-6405
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4449
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78502-4449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-362-2171
-----------------------------------------------------
Fax | 956-687-6405
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | F6144
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------