Organization
TANIA JALIL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA Q JALIL M.D. (PRESIDENT)
(956) 459-8219
Entity
Organization
Contact information
Practice address
4920 N EXPRESSWAY, ALTON GLOOR PLAZA # 101, BROWNSVILLE, TX 78526-4334
(956) 350-5530
(956) 350-5527
Mailing address
1474 W PRICE RD, STE # 7, BOX 536, BROWNSVILLE, TX 78520-8687
(956) 350-5530
(956) 350-5527
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K-3259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116839
SUPERIOR HEALTH PLANS
TX
01
—
8V8540
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
02/02/2009
Last updated
02/02/2009
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