Individual
EDWARDO GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 S 1ST ST, SUITE 300, MCALLEN, TX 78503-1228
(956) 682-4409
Mailing address
1901 S 1ST ST, SUITE 300, MCALLEN, TX 78503-1228
(956) 682-4409
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1588
TX
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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