Organization
LAREDO REGIONAL MEDICAL CENTER
Active
Organization
LAREDO REGIONAL MEDICAL CENTER
Active
Other names
Doctors Hospital Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELADIO MONTALVO (CFO)
(956) 523-2086
Entity
Organization
Contact information
Practice address
10700 MCPHERSON AVE, LAREDO, TX 78045-6268
(956) 523-2619
Mailing address
7917 MCPHERSON RD, SUITE 205, PMB # 233, LAREDO, TX 78045-2811
(956) 523-2619
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041KP
BCBS
TX
01
—
00C82R
BCBS
TX
05
—
160688102
—
TX
01
—
DA5648
RAILROAD
TX
Enumeration date
06/29/2006
Last updated
11/07/2008
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