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Individual

JOHN G ORFANOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 E DOVE AVE STE 300, MCALLEN, TX 78504
(563) 628-1709
(956) 362-8168
Mailing address
PO BOX 2975, MCALLEN, TX 78502-2975
(956) 362-8170
(956) 362-8168

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G9780
TX
2086S0127X
Trauma Surgery Physician
G9780
TX
2086S0129X
Vascular Surgery Physician
G9780
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032PA
BCBS
TX
01
020047898
RAILROAD
TX
05
126615703
TX
05
126615706
TX
05
126615707
TX
05
126615708
TX
05
126615709
TX
05
126615710
TX
05
126615711
TX
01
G9780
TEXAS STATE BOARD OF MEDI
TX
01
P00244237
MEDICARE RAILROAD
TX
Enumeration date
07/10/2006
Last updated
10/18/2018
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