Organization
S.G.KRISHNAN,M.D. & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBRAM GOPAL KRISHNAN MD (PRESIDENT/OWNER)
(956) 968-9502
Entity
Organization
Contact information
Practice address
1331 E 6TH ST, WESLACO, TX 78596-6601
(956) 968-9502
(956) 968-7269
Mailing address
1331 E 6TH ST, WESLACO, TX 78596-6601
(956) 968-9502
(956) 968-7269
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E1357
TX
207X00000X
Orthopaedic Surgery Physician
E0520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099673801
—
TX
05
—
110089302
—
TX
Enumeration date
05/19/2009
Last updated
05/19/2009
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