Provider Demographics
NPI:1750452918
Name:JOSE E. IGOA, M.D., P.A.
Entity Type:Organization
Organization Name:JOSE E. IGOA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:IGOA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-682-4401
Mailing Address - Street 1:1421 E JACKSON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1621
Mailing Address - Country:US
Mailing Address - Phone:956-682-4401
Mailing Address - Fax:956-683-8937
Practice Address - Street 1:1421 E JACKSON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1621
Practice Address - Country:US
Practice Address - Phone:956-682-4401
Practice Address - Fax:956-683-8937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG58332084A0401X, 2084F0202X, 2084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty