Provider Demographics
NPI:1639254527
Name:GAGOT-PIZARRO, JULIO JESUS (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:JESUS
Last Name:GAGOT-PIZARRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 952270
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75395-0001
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:
Practice Address - Street 1:2001 N OREGON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3320
Practice Address - Country:US
Practice Address - Phone:915-577-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9852207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U4609OtherBCBS
TX114983304Medicaid
TX114983306Medicaid
TX114983302Medicaid
TX114983307Medicaid
TX8BX900OtherBCBS
NM000V6181Medicaid
TX89T292OtherBCBS
TX89T292OtherBCBS
TX114983302Medicaid
TX114983306Medicaid
TX89T292Medicare PIN
NM000V6181Medicaid
TX114983304Medicaid