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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1356335855 NPPES
Texas MEDICAID 164543402

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