EDGAR RICARDO CARRILLO

RAYMONDVILLE, TX
NPI1891149142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA10432)
Enumeration Date2016-04-22
Last Update Date2016-04-22
Business Address
Mr. EDGAR RICARDO CARRILLO MPAS, PA-C
640 S EXPRESSWAY 77 STE 2
RAYMONDVILLE, TX 78580-4241
Phone number: 956-689-4120
Mailing Address
Mr. EDGAR RICARDO CARRILLO MPAS, PA-C
2813 W FERN AVE
MCALLEN, TX 78501-6237
Phone number: 956-212-0358