Organization
ORTHOPAEDIC SPORTS MEDICINE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELOISA MARISCAL (BILLING SUPERVISOR)
(956) 994-8983
Entity
Organization
Contact information
Practice address
4865 N MCCOLL RD, MCALLEN, TX 78504-2476
(956) 994-8983
(956) 994-8967
Mailing address
4865 N MCCOLL RD, MCALLEN, TX 78504-2476
(956) 994-8983
(956) 994-8967
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
TX
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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