Zylberg, Gaston Ittay
Zylberg, Gaston Ittay is an sole proprietor health care provider with primary practice located at 2525 N Veterans Blvd , Eagle Pass TX 78852-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Zylberg, Gaston Ittay can be contacted via phone (830) 773-8917.Contact Information
Primary practice address
2525 N Veterans Blvd
Eagle Pass TX 78852-3302
Phone: (830) 773-8917
Fax: (830) 773-6432
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P1507 | Texas |
Profile Details
NPI number | 1104111624 |
---|---|
LBN Legal business name | Zylberg, Gaston Ittay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2011 |
Last updated | Nov 9th, 2023 - about last year |
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 | 1104111624 | NPPES |
Texas | Other | 685398 | AMERICAN BOARD OF PEDIATRICS |
Texas | MEDICAID | 2967663-04 | AMERICAN BOARD OF PEDIATRICS |
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