Individual
LUIS JAIME MARICHALAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-9152
(956) 661-0529
(956) 618-4639
Mailing address
7432 N 5TH ST, MCALLEN, TX 78504-1845
(602) 330-1653
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP124489
TX
Other
Enumeration date
10/31/2013
Last updated
01/25/2022
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