Provider Demographics
NPI:1871702597
Name:ROBERT PARDO, M.D. & ASSOCIATES
Entity type:Organization
Organization Name:ROBERT PARDO, M.D. & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-968-8822
Mailing Address - Street 1:1216 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6420
Mailing Address - Country:US
Mailing Address - Phone:956-968-8822
Mailing Address - Fax:956-969-9564
Practice Address - Street 1:1216 E 6TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6420
Practice Address - Country:US
Practice Address - Phone:956-968-8822
Practice Address - Fax:956-969-9564
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT PARDO, M.D. AND ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-21
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0268207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX083691801Medicaid
TX00L28LMedicare PIN
TXC20168Medicare UPIN