| Erasto Canales, M.d., P.a. | |
|
334 Lindberg Ave Mcallen TX 78501-2943 | |
| (956) 686-2020 | |
| (956) 686-3094 |
| Full Name | Erasto Canales, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 334 Lindberg Ave, Mcallen, Texas |
| Authorized Official Name and Position | Erasto Canales (PRESIDENT) |
| Authorized Official Contact | 9566862020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erasto Canales, M.d., P.a. 334 Lindberg Ave Mcallen TX 78501-2943 Ph: (956) 686-2020 | Erasto Canales, M.d., P.a. 334 Lindberg Ave Mcallen TX 78501-2943 Ph: (956) 686-2020 |
| NPI Number | 1598076226 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 7416117312 |
|---|---|
| Medicare Enrollment ID | O20120330000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598076226 | NPI | - | NPPES |
| 126917703 | Medicaid | TX | |
| 126917704 | Other | TX | TX HEALTH STEPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4020 (Texas) | Primary |
| Provider Name | Erasto Canales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396713616 PECOS PAC ID: 4587824487 Enrollment ID: I20120330000384 |
| Provider Name | David Rolando Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275076507 PECOS PAC ID: 8527331099 Enrollment ID: I20170905001528 |
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