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Organization
JESUS S PINEDA M.D.P.A.
Active
Organization
JESUS S PINEDA M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS S PINEDA M.D (PRESIDENT)
(956) 727-0849
Entity
Organization
Contact information
Practice address
201 W DEL MAR BLVD, 7A, LAREDO, TX 78041-2240
(956) 727-0849
(956) 712-2814
Mailing address
10604 KIRBY DR, LAREDO, TX 78045-8471
(956) 727-0849
(956) 712-2281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G7419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135390604
—
TX
Enumeration date
06/27/2011
Last updated
06/28/2011
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