Organization
GUADALUPE PEDIATRIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS EDUARDO TRUJILLO M.D. (MEDICAL DOCTOR)
(956) 278-3777
Entity
Organization
Contact information
Practice address
5000 N 23RD ST, SUITE K, MCALLEN, TX 78504-4013
(956) 278-3777
(800) 396-9360
Mailing address
5000 N 23RD ST, SUITE K, MCALLEN, TX 78504-4013
(956) 278-3777
(800) 396-9360
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073511887
INDIVIDUAL NPI
TX
01
—
L3165
LICENSE NUMBER
TX
Enumeration date
01/21/2009
Last updated
12/10/2013
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