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

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, MD

Title

Owner

Phone

(956) 664-9771

Specialties & licenses 1

Addresses

Locations

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
• 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.