Organization
MCALLEN SURGICAL SPECIALTY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR H GONZALEZ MD (MEDICAL DIRECTOR)
(956) 631-7202
Entity
Organization
Contact information
Practice address
1309 E RIDGE RD, MCALLEN, TX 78503-1517
(956) 631-7202
(956) 631-3026
Mailing address
1309 E RIDGE RD, MCALLEN, TX 78503-1517
(956) 631-7202
(956) 631-3026
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145785501
—
TX
01
—
HH1561
BCBS OF TEXAS
TX
Enumeration date
11/06/2006
Last updated
07/12/2022
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