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Organization

RAUL ERNESTO LOAISIGA MD PA

Active
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Organization

RAUL ERNESTO LOAISIGA MD PA

Active
Other names
LOAISIGA CHILDRENS CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAUL ERNESTO LOAISIGA MD (PRESIDENT)
(956) 350-5500
Entity
Organization

Contact information

Practice address
4770 N EXPRESSWAY # 7783, STE 206, BROWNSVILLE, TX 78526-4120
(956) 350-5500
(956) 350-4965
Mailing address
4770 N EXPRESSWAY, STE. 206, BROWNSVILLE, TX 78526-4165
(956) 350-5500
(956) 350-4965

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0383
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198528501
—
TX
Enumeration date
12/15/2008
Last updated
05/22/2015
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