Preciado, Sergio Gustavo
Preciado, Sergio Gustavo is an sole proprietor health care provider with primary practice located at 832 Del Oro Ln Suite 2, Pharr TX 78577-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Preciado, Sergio Gustavo can be contacted via phone (956) 787-2500.Contact Information
Primary practice address
832 Del Oro Ln Suite 2
Pharr TX 78577-2200
Phone: (956) 787-2500
Fax: (956) 787-2528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J9278 | Texas |
Profile Details
| NPI number | 1336199694 |
|---|---|
| LBN Legal business name | Preciado, Sergio Gustavo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 4th, 2011 - about 13 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 | 1336199694 | NPPES |
| Texas | MEDICAID | 1347262-14 | |
| Texas | MEDICAID | 1347262-15 | |
| Texas | MEDICAID | 1347262-13 |
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