Organization
SOUTH TEXAS CHILD DEVELOPMENT & BEHAVIOR CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORAZON GLADYS AJERO (MD)
(956) 383-7779
Entity
Organization
Contact information
Practice address
316 CONQUEST BLVD, STE 300, EDINBURG, TX 78539
(956) 383-7779
(956) 383-3315
Mailing address
PO BOX 1820, EDINBURG, TX 78540-1820
(956) 383-7779
(956) 383-3315
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
M1455
TX
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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