Fajardo, Osvaldo

Fajardo, Osvaldo is an individual health care provider with primary practice located at 5236 W University Dr Suite 3300, Mckinney TX 75071-7889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fajardo, Osvaldo can be contacted via phone (972) 562-4430.

Contact Information

Primary practice address
5236 W University Dr Suite 3300 Mckinney TX 75071-7889
Fax: (972) 529-2763
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X H8544 Texas

Profile Details

NPI number 1457337297
LBN Legal business name Fajardo, Osvaldo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated May 23rd, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457337297 NPPES
Texas MEDICAID 138151909
Texas Other 82W273

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