Individual
JUAN JESUS RENDON GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 S 5TH ST STE 207, MCALLEN, TX 78503-2932
(956) 631-0393
(956) 682-4689
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 631-0393
(956) 682-4689
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P3423
TX
2086S0102X
Surgical Critical Care Physician
P3423
TX
2086S0127X
Trauma Surgery Physician
P3423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309697601
—
TX
01
—
8DK720
BCBS TX
TX
Enumeration date
08/28/2009
Last updated
07/21/2022
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