Pallares, Jerry Xavier
Pallares, Jerry Xavier is an individual health care provider with primary practice located at 24399 N Dilworth Rd , Harlingen TX 78552-2491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pallares, Jerry Xavier can be contacted via phone (956) 564-9392.Contact Information
Primary practice address
24399 N Dilworth Rd
Harlingen TX 78552-2491
Phone: (956) 564-9392
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J6643 | Texas |
Profile Details
NPI number | 1366424814 |
---|---|
LBN Legal business name | Pallares, Jerry Xavier |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 18th, 2005 |
Last updated | Mar 29th, 2017 - about 8 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 | 1366424814 | NPPES |
Texas | MEDICAID | 039690501 | |
Texas | MEDICAID | 39690503 |
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