Individual
JERRY XAVIER PALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24399 N DILWORTH RD, HARLINGEN, TX 78552-2491
(956) 564-9392
Mailing address
24399 N DILWORTH RD, HARLINGEN, TX 78552-2491
(956) 564-9392
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J6643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039690501
—
TX
05
—
39690503
—
TX
Enumeration date
11/18/2005
Last updated
03/29/2017
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