Provider Demographics
NPI:1083924658
Name:A & G MEDICAL CONSULTANTS
Entity Type:Organization
Organization Name:A & G MEDICAL CONSULTANTS
Other - Org Name:ELSA FAMILY MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:956-631-3831
Mailing Address - Street 1:5128 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2834
Mailing Address - Country:US
Mailing Address - Phone:956-631-3831
Mailing Address - Fax:956-631-5537
Practice Address - Street 1:420 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ELSA
Practice Address - State:TX
Practice Address - Zip Code:78543
Practice Address - Country:US
Practice Address - Phone:956-262-9940
Practice Address - Fax:956-262-9960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUIS DELGADO, JR., MD, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty