Organization Name: | MARIO A. ECHAVARRIA MD PA |
NPI Number: | 1891965745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIO A ECHAVARRIA (DOCTOR/OWNER) |
Mailing Address: | 3001 N 23rd St Ste 3 Mcallen |
State: | TX US |
Postal Code: | 785016178 |
Phone Number: | 9569719999 |
Fax Number: | 9569719979 |
NPI Enumeration Date: | 03/06/2008 |
NPI Last Update Date: | 04/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | L3631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |