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Organization

RAYMONVILLE PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERTO M REY M.D. (MANAGER)
(956) 689-4120
Entity
Organization

Contact information

Practice address
910 E HIDALGO AVE, RAYMONDVILLE, TX 78580-4095
(956) 689-4120
(956) 689-4142
Mailing address
910 E HIDALGO AVE, RAYMONDVILLE, TX 78580-4095
(956) 689-4120
(956) 689-4142

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
L0540
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0048MS
BC/BS
TX
Enumeration date
12/06/2007
Last updated
12/06/2007
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