Organization
IVAN MEDEROS, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA C GONZALEZ (OFFICE MANAGER)
(956) 795-8297
Entity
Organization
Contact information
Practice address
1710 E.SAUNDERS, SUITE B375, LAREDO, TX 78041
(956) 795-8297
(956) 794-8888
Mailing address
PO BOX 450748, LAREDO, TX 78045-0748
(956) 795-8297
(956) 794-8888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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