| Pablo Tagle Jr Dds Inc | |
|
2215 W Fern Ave Mcallen TX 78501-6176 | |
| (956) 686-2813 | |
| (956) 630-5553 |
| Full Name | Pablo Tagle Jr Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2215 W Fern Ave, Mcallen, Texas |
| Authorized Official Name and Position | Pablo Tagle (PRESIDENT) |
| Authorized Official Contact | 9566862813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pablo Tagle Jr Dds Inc Po Box 720058 Mcallen TX 78504-0058 Ph: (956) 686-2813 | Pablo Tagle Jr Dds Inc 2215 W Fern Ave Mcallen TX 78501-6176 Ph: (956) 686-2813 |
| NPI Number | 1164691762 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 0749479434 |
|---|---|
| Medicare Enrollment ID | O20110111000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164691762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11598 (Texas) | Primary |
| Provider Name | Pablo Tagle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548371552 PECOS PAC ID: 6002005790 Enrollment ID: I20110111000923 |
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