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1205809258
IVAN A MEDEROS
LAREDO, TX
NPI
1205809258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX J7581)
Enumeration Date
2006-02-09
Last Update Date
2020-09-16
Business Address
IVAN A MEDEROS M.D.
1710 E SAUNDERS ST SUITE B-375
LAREDO, TX 78041-5443
Phone number: 956-795-8297
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Mailing Address
IVAN A MEDEROS M.D.
PO BOX 450748
LAREDO, TX 78045-0018
Phone number: 956-795-8297
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