Individual
JAIRO L MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3354 INTERNATIONAL BLVD, BROWNSVILLE, TX 78521-3226
(956) 548-6666
(956) 548-6667
Mailing address
874 GREY FOX CIR, BROWNSVILLE, TX 78520-9036
(956) 546-0190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L0419
TX
2080A0000X
Pediatric Adolescent Medicine Physician
L0419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141341106
—
TX
Enumeration date
05/05/2006
Last updated
10/10/2008
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