# DR. MICHAEL R. KILGORE, MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902211212
- **Authorized official:** DR. MICHAEL RAY KILGORE M.D. (SOLE/PROPRIETOR)
- **Authorized official phone:** (956) 687-6196

## Contact information

- **Practice address:** 5265 N 23RD ST, SUITE A, MCALLEN, TX 78504-4004
- **Practice address phone:** (956) 687-6196
- **Practice address fax:** (956) 687-9169
- **Mailing address:** 5265 N 23RD ST, SUITE A, MCALLEN, TX 78504-4004
- **Mailing address phone:** (956) 687-6196
- **Mailing address fax:** (956) 687-9169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H1123 | TX | Yes |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 06/25/2014