Individual
GILBERT BRADY SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
208 LINDBERG AVE, MCALLEN, TX 78501-2920
(956) 664-8357
(956) 322-4822
Mailing address
2000 S MCCOLL RD STE B152, MCALLEN, TX 78503-1501
(956) 664-8357
(956) 332-4822
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28900483
—
TX
01
—
421545ZLVQ
MEDICARE
TX
01
—
8FZ627
BCBS
TX
01
—
P01663156
RR MEDICARE
TX
Enumeration date
06/27/2006
Last updated
06/20/2018
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