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Individual

DR. EDWARD REQUENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 E RIDGE RD, MCALLEN, TX 78503-1847
(956) 632-6020
Mailing address
222 E RIDGE RD STE 204, MCALLEN, TX 78503-1251
(956) 632-6020
(956) 630-6643

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P6900
TX
207LP3000X
Pediatric Anesthesiology Physician
P6900
TX

Other

Enumeration date
10/29/2008
Last updated
04/25/2018
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