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4109 N 22nd St Mcallen TX 78504-4101 | |
| (956) 687-7141 | |
| (956) 687-8419 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4109 N 22nd St, Mcallen, Texas |
| Authorized Official Name and Position | Gary M Schwarz (OWNER) |
| Authorized Official Contact | 9566877141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4109 N 22nd St Mcallen TX 78504-4141 Ph: (956) 687-7141 | 4109 N 22nd St Mcallen TX 78504-4101 Ph: (956) 687-7141 |
| NPI Number | 1821390733 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 2668620865 |
|---|---|
| Medicare Enrollment ID | O20120913000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821390733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11854 (Texas) | Primary |
| Provider Name | Gary M Schwarz |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1861550469 PECOS PAC ID: 8022024215 Enrollment ID: I20060227000114 |
| Provider Name | Jorge Alberto Gonzales |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316560147 PECOS PAC ID: 7416497516 Enrollment ID: I20240904000908 |
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