Individual
DR. JAIME GASCO-TAMARIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4302 S SUGAR RD STE 100, EDINBURG, TX 78539-9140
(956) 292-0570
(956) 292-0102
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 292-0570
(956) 292-0102
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
P0589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2859332-02
—
TX
Enumeration date
09/18/2007
Last updated
07/21/2022
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