Organization
EDGAR CRUZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR V CRUZ GONZALEZ MD (PRESIDENT)
(956) 687-7151
Entity
Organization
Contact information
Practice address
1801 S 5TH ST, SUITE 120, MCALLEN, TX 78503-2927
(956) 687-7151
(956) 213-8176
Mailing address
1801 S 5TH ST, SUITE 120, MCALLEN, TX 78503-2927
(956) 687-7151
(956) 213-8176
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K4033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052QP
BCBS
TX
05
—
175076201
—
TX
01
—
DE2116
RAILROAD
TX
Enumeration date
04/23/2007
Last updated
09/07/2012
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