Organization
LUIS GAITAN, MD., PA.
Active
Organization
LUIS GAITAN, MD., PA.
Active
Other names
Brownsville Neurology Neurophysiology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS E GAITAN M.D. (PRESIDENT)
(956) 550-9020
Entity
Organization
Contact information
Practice address
4770 N EXPRESSWAY, SUITE 100, BROWNSVILLE, TX 78526-4120
(956) 550-9020
(956) 550-9050
Mailing address
PO BOX 676786, DALLAS, TX 75267-6786
(956) 550-9020
(956) 550-9050
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K1442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043KH
BCBS NUMBER
TX
01
—
139289100
VALLEY BAPTIST HEALTH PLA
TX
05
—
159853401
—
TX
01
—
DA4272
GROUP # MEDICARE RAILROAD
TX
Enumeration date
05/10/2006
Last updated
05/12/2022
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