Individual
DR. JYOTI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5017 S MCCOLL RD, EDINBURG, TX 78539-8080
(956) 627-2414
(956) 627-2076
Mailing address
PO BOX 2764, MCALLEN, TX 78502-2764
(956) 310-2439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N1662
TX
2080P0202X
Pediatric Cardiology Physician
001427
GA
2080P0202X
Pediatric Cardiology Physician
Primary
N1662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199197803
—
TX
Enumeration date
01/31/2008
Last updated
12/11/2018
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