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1891149142
EDGAR RICARDO CARRILLO
RAYMONDVILLE, TX
NPI
1891149142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA10432)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
Mr. EDGAR RICARDO CARRILLO MPAS, PA-C
640 S EXPRESSWAY 77 STE 2
RAYMONDVILLE, TX 78580-4241
Phone number: 956-689-4120
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Mailing Address
Mr. EDGAR RICARDO CARRILLO MPAS, PA-C
2813 W FERN AVE
MCALLEN, TX 78501-6237
Phone number: 956-212-0358
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