Provider Demographics
NPI:1538130521
Name:ARGUELLO, ROBERTO A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:A
Last Name:ARGUELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1910 S 1ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1255
Mailing Address - Country:US
Mailing Address - Phone:956-687-8475
Mailing Address - Fax:956-687-4663
Practice Address - Street 1:1910 S 1ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1255
Practice Address - Country:US
Practice Address - Phone:956-687-8475
Practice Address - Fax:956-687-4663
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG6260207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110250102Medicaid
TXB20956Medicare UPIN
TX00AD03Medicare PIN