Moncada, Edgar E
Moncada, Edgar E is an individual health care provider with primary practice located at 100 E Alton Gloor Blvd Bldg. B Ste 260, Brownsville TX 78526-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moncada, Edgar E can be contacted via phone (956) 350-3901.Contact Information
Primary practice address
100 E Alton Gloor Blvd Bldg. B Ste 260
Brownsville TX 78526-3328
Phone: (956) 350-3901
Fax: (956) 350-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L7487 | Texas |
Profile Details
| NPI number | 1356335855 |
|---|---|
| LBN Legal business name | Moncada, Edgar E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Feb 8th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356335855 | NPPES |
| Texas | MEDICAID | 164543402 |
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