Kutugata, Jorge Luis

Kutugata, Jorge Luis is an sole proprietor health care provider with primary practice located at 902 S Airport Dr Ste 1 , Weslaco TX 78596-6649. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kutugata, Jorge Luis can be contacted via phone (956) 969-2904.

Contact Information

Primary practice address
902 S Airport Dr Ste 1 Weslaco TX 78596-6649
Phone: (956) 969-2904
Fax: (956) 969-1650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G9139 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G9139 Texas

Profile Details

NPI number 1285748996
LBN Legal business name Kutugata, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Sep 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285748996 NPPES
Texas Other 117052 SUPERIOR HEALTH PLANS
Texas Other 85M551 SUPERIOR HEALTH PLANS

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