1982020780 NPI number — EDGARDO G ADVINCULA MD PA

Table of content: (NPI 1982020780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982020780 NPI number — EDGARDO G ADVINCULA MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDGARDO G ADVINCULA MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982020780
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 687
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MUENSTER
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76252-0687
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-759-2226
Provider Business Mailing Address Fax Number:
940-759-2385

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
509 N MAPLE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUENSTER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76252-2425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-759-2226
Provider Business Practice Location Address Fax Number:
940-759-2385
Provider Enumeration Date:
03/17/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ADVINCULA
Authorized Official First Name:
EDD
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICIAN/OWNER
Authorized Official Telephone Number:
940-759-2226

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  F5812 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)