Jesus S Pineda M.D.P.A.
Family Medicine in Laredo, TX. Organization (NPI-2).
NPI number1013203124
StatusActive
Last updated in NPPESJun 28, 2011
Details
- NPI
- 1013203124
- Entity type
- Organization (NPI-2)
- Legal business name
- Jesus S Pineda M.D.P.A.
- Organization subpart
- No
- Enumeration date
- Jun 27, 2011
- Last updated
- Jun 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G7419 | TX | Yes |
Practice location
201 W Del Mar Blvd7a
Laredo, TX 78041-2240
Phone 956-727-0849 · Fax 956-712-2814
Mailing address
10604 Kirby DrLaredo, TX 78045-8471
Phone 956-727-0849 · Fax 956-712-2281
Authorized official
Jesus S Pineda
President
9567270849
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