Individual
JOSE ESTEBAN IGOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 N 23RD ST, SUITE 103, MCALLEN, TX 78501-6144
(956) 682-4401
(956) 664-9081
Mailing address
3716 S J ST, MCALLEN, TX 78503-1432
(956) 687-5222
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
G5833
TX
2084P0015X
Psychosomatic Medicine Physician
G5833
TX
2084P0800X
Psychiatry Physician
Primary
G5833
TX
2084P0802X
Addiction Psychiatry Physician
G5833
TX
2084P0805X
Geriatric Psychiatry Physician
G5833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128240202
—
TX
Enumeration date
07/06/2006
Last updated
06/02/2011
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