Organization
ENDOSCOPY CENTER AT RIDGE PLAZA LP
Active
Other names
Endoscopy Center at Medpoint
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS GUERRA (ADMINISTRATOR)
(956) 687-2673
Entity
Organization
Contact information
Practice address
1200 E SAVANNAH AVE, SUITE 15, MCALLEN, TX 78503-1727
(956) 687-2673
(956) 631-1091
Mailing address
1200 E SAVANNAH AVE, SUITE 15, MCALLEN, TX 78503-1728
(956) 687-2673
(956) 631-1091
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163422201
—
TX
01
—
HH070A
BLUE CROSS BLUE SHIELD
TX
01
—
P00056761
RAILROAD MEDICARE
TX
Enumeration date
06/03/2006
Last updated
01/27/2012
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