Provider Demographics
NPI:1548593148
Name:SOCRATES A GARRIGOS, MDPA
Entity Type:Organization
Organization Name:SOCRATES A GARRIGOS, MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOCRATES
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARRIGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-683-0404
Mailing Address - Street 1:801 E NOLANA AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6112
Mailing Address - Country:US
Mailing Address - Phone:956-683-0404
Mailing Address - Fax:956-683-0450
Practice Address - Street 1:801 E NOLANA AVE STE 15
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6112
Practice Address - Country:US
Practice Address - Phone:956-683-0404
Practice Address - Fax:956-683-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1821207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1821052499OtherNPI
TXOO793LOtherMEDICARE
TXGO1393Medicare UPIN