Individual
MR. CESAR ORLANDO BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 523-3683
(956) 718-6294
Mailing address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 523-3683
(956) 718-6294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA06426
LICENSE
TX
Enumeration date
09/07/2010
Last updated
10/30/2013
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