Provider Demographics
NPI:1346257201
Name:ALBERTO EDMUNDO ALMEIDA M.D. PA
Entity Type:Organization
Organization Name:ALBERTO EDMUNDO ALMEIDA M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:EDMUNDO
Authorized Official - Last Name:ALMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-986-2515
Mailing Address - Street 1:1134 E LOS EBANOS BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8730
Mailing Address - Country:US
Mailing Address - Phone:956-986-2515
Mailing Address - Fax:956-986-2503
Practice Address - Street 1:1134 E LOS EBANOS BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8730
Practice Address - Country:US
Practice Address - Phone:956-986-2515
Practice Address - Fax:956-986-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9980207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX039256502Medicaid
TX00Z661Medicare PIN
TX039256502Medicaid