Provider Demographics
NPI:1093959751
Name:LOURDES ARELY URIBE M.D. P.A.
Entity Type:Organization
Organization Name:LOURDES ARELY URIBE M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:ARELY
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-330-7504
Mailing Address - Street 1:PO BOX 3337
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-3337
Mailing Address - Country:US
Mailing Address - Phone:956-330-7504
Mailing Address - Fax:
Practice Address - Street 1:100 E RIDGE RD
Practice Address - Street 2:B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-330-7504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-25
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7711207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty