Organization
JORGE A. PATINO MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE PATINO M.D. (OWNER)
(956) 542-3200
Entity
Organization
Contact information
Practice address
5460 PAREDES LINE RD, STE 198, BROWNSVILLE, TX 78526-9740
(956) 542-3200
(956) 504-6733
Mailing address
5460 PAREDES LINE RD, STE 198, BROWNSVILLE, TX 78526-9740
(956) 542-3200
(956) 504-6733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092281703
—
TX
05
—
092281705
—
TX
05
—
195269903
—
TX
Enumeration date
11/14/2008
Last updated
03/04/2009
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