Individual
ROBERTO PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2449 BOCA CHICA BLVD, STE B, BROWNSVILLE, TX 78521-2368
(956) 542-1531
(956) 542-0028
Mailing address
2449 BOCA CHICA BLVD, STE B, BROWNSVILLE, TX 78521-2368
(956) 542-1531
(956) 542-0028
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F3582
TX
207RG0100X
Gastroenterology Physician
Primary
F3582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110414301
—
TX
01
—
88460F
GASTROENTEROLOGY
TX
Enumeration date
06/23/2005
Last updated
07/31/2018
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