Jose Antonio Gamboa
Technician, Other in Mcallen, TX. Individual provider (NPI-1).
NPI number1326325176
StatusActive
Last updated in NPPESNov 8, 2011
Details
- NPI
- 1326325176
- Entity type
- Individual (NPI-1)
- Name
- Jose Antonio Gamboa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2011
- Last updated
- Nov 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
702 N Mccoll RdMcallen, TX 78501-9337
Phone 956-664-1272 · Fax 956-664-2151
Mailing address
702 N Mccoll RdMcallen, TX 78501-9337
Phone 956-664-1272 · Fax 956-664-2151
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