Individual
DR. LEONEL JORGE FAVIO ESTOFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 MICHAELANGELO DR STE 305, EDINBURG, TX 78539-1405
(956) 362-8100
(956) 362-8105
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8100
(956) 362-8105
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
S9499
TX
2084N0400X
Neurology Physician
S9499
TX
Other
Enumeration date
06/25/2015
Last updated
09/30/2024
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