MEDICARE: DR. JOSE DARIO BEJARANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M7034	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518168772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE DARIO BEJARANO M.D.

Provider Business Mailing Address
First Line	:	5111 N 10TH ST # 230
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2835
Country	:	US
Telephone Number	:	956-969-1313
Fax Number	:	956-969-1322

Provider Business Practice Location Address
First Line	:	910 E 8TH ST STE 3
Second Line	:
City	:	WESLACO
State	:	TX
Zip	:	78596-4346
Country	:	US
Telephone Number	:	956-969-1313
Fax Number	:	956-969-1322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	04/28/2023

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