Gustavo C Licea Mdpa

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GUSTAVO C LICEA MDPA

Practice address

2010 S Cynthia St
Ste 101
McAllen, TX 78503-1386

Phone

(956) 664-9771

Fax

(956) 664-9773

NPI assigned

Feb 20, 2013

Last updated

Feb 20, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gustavo C Licea, MDNPI 1871527036

Title

Owner

Phone

(956) 664-9771

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gustavo Licea, M.D.

  • Anesthesiology Physician
  • Edinburg, TX
  • NPI 1871527036
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1033459581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720162",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040162",
            "telephone_number": "956-664-9771",
            "fax_number": "956-664-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S CYNTHIA ST",
            "address_2": "STE 101",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031386",
            "telephone_number": "956-664-9771",
            "fax_number": "956-664-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO C LICEA MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "LICEA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-664-9771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary W Gulley, PHYSICIAN ASSISTANT
• Zain Gulzar, M.D.
• Irwan K Gunadi, MD
• Stephanie Aftergut Gurwitz, M.S. CCC-SLP
• Gustavo Buentello MD F. a. a. P., PA (Buentello Medical and Wellness Center)
• Abraham Gutierrez Sauceda, MD
• Silvia Gutierrez-Leal, CRC, LPC
• Amy Lynn Gutierrez, MS, CCC-SLP
• David Gutierrez, F.N.P-B.C
• Felipe Gutierrez, MD

• Anesthesiology Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.