Individual
DR. EDMUNDO C CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 E NOLANA ST, SUITE A, MCALLEN, TX 78504-6114
(956) 682-4151
(956) 682-4154
Mailing address
PO BOX 3744, MCALLEN, TX 78502-3744
(956) 682-4151
(956) 682-4154
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G4889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134595109
—
TX
01
—
8V1950
BCBS
TX
01
—
P00391771
MEDICARE RAILROAD
TX
Enumeration date
01/04/2006
Last updated
01/07/2010
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