Gustavo C Licea Mdpa

NPI #1033459581 in Mcallen, Texas

Provider Information

NPI Number
1033459581
Entity Type
Organization
Organization Name
Gustavo C Licea Mdpa
Primary Specialty
Anesthesiology
Enumeration Date
Feb 20, 2013
Last Updated
Feb 20, 2013

Practice Location

Address
2010 S CYNTHIA ST
Address 2
STE 101
State
Texas
ZIP Code
78503-1386
Phone
(956) 664-9771

Authorized Official

Name
DR. GUSTAVO C LICEA, MD
Title
OWNER
Phone
(956) 664-9771

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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