Provider Demographics
NPI:1912220047
Name:GIAPERAL MEDICAL CLINIC, PA
Entity Type:Organization
Organization Name:GIAPERAL MEDICAL CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASISTORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-631-6109
Mailing Address - Street 1:PO BOX 6199
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6199
Mailing Address - Country:US
Mailing Address - Phone:956-631-6109
Mailing Address - Fax:956-631-6125
Practice Address - Street 1:2501 BUDDY OWENS AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5427
Practice Address - Country:US
Practice Address - Phone:956-631-6109
Practice Address - Fax:956-631-6125
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARILYN ASISTORES-QULILON, M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2485207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty