Individual
DR. OSVALDO FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5236 W UNIVERSITY DR, SUITE 3300, MCKINNEY, TX 75071-7889
(972) 562-4430
(972) 529-2763
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2213
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H8544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138151909
—
TX
01
—
82W273
BCBS
TX
Enumeration date
12/22/2005
Last updated
05/23/2013
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