Individual
MR. EDGAR RICARDO CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
640 S EXPRESSWAY 77 STE 2, RAYMONDVILLE, TX 78580-4241
(956) 689-4120
(956) 689-4142
Mailing address
2813 W FERN AVE, MCALLEN, TX 78501-6237
(956) 212-0358
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10432
TX
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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