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Organization

JOSE E IGOA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE E. IGOA MD (PRESIDENT)
(956) 682-4401
Entity
Organization

Contact information

Practice address
3600 N 23RD ST, SUITE 103, MCALLEN, TX 78501-6144
(956) 682-4401
(956) 664-9081
Mailing address
PO BOX 1448, MCALLEN, TX 78505-1448
(956) 682-4401
(956) 664-9081

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G5833
TX
363A00000X
Physician Assistant
PA 05400
TX
363A00000X
Physician Assistant
PA 05401
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201224701
TX
Enumeration date
05/30/2007
Last updated
07/16/2009
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