Provider Demographics
NPI:1649986423
Name:ESTRADA, ARMANDO CARLOS
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:CARLOS
Last Name:ESTRADA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 S JACKSON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1874
Mailing Address - Country:US
Mailing Address - Phone:956-258-2381
Mailing Address - Fax:
Practice Address - Street 1:2918 S JACKSON RD STE 300
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1874
Practice Address - Country:US
Practice Address - Phone:956-258-2381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies