Individual
IRMA EDITH GAYTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4716 S JACKSON RD, EDINBURG, TX 78539-6199
(956) 618-1300
(956) 618-1385
Mailing address
2019 LOMA AZUL, SAN JUAN, TX 78589-3373
(956) 451-4210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
114101
TX
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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