Organization
VICTOR A. PALLARES, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR ALBERTO PALLARES M.D. (PRESIDENT)
(956) 350-0900
Entity
Organization
Contact information
Practice address
5700 N EXPRESSWAY # 7783, SUITE 101, BROWNSVILLE, TX 78526-4353
(956) 350-0900
(956) 350-0906
Mailing address
5700 N EXPRESSWAY # 7783, SUITE 101, BROWNSVILLE, TX 78526-4353
(956) 350-0900
(956) 350-0906
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
J3867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037RD
BLUE CROSS BLUE SHIELD TEXAS
TX
05
—
118423605
—
TX
05
—
191674401
—
TX
01
—
DG9195
MEDICARE RAILROAD
TX
Enumeration date
03/23/2007
Last updated
04/09/2015
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