Corazon Gladys White Ajero, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

M1455 Issued in TX

Practice address

316 Conquest Blvd
Suite 300
Edinburg, TX 78539

Phone

(956) 383-7779

Fax

(956) 383-3315

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Texas Child Development & Behavior Center LP

  • Developmental - Behavioral Pediatrics Physician
  • Edinburg, TX
  • NPI 1528125234
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073538799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1820",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785401820",
            "telephone_number": "956-383-7779",
            "fax_number": "956-383-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CONQUEST BLVD",
            "address_2": "SUITE 300",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-383-7779",
            "fax_number": "956-383-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJERO",
        "first_name": "CORAZON GLADYS",
        "middle_name": "WHITE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "M1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Husna Ashfaq Ahmed, PA
• Mohammed O Ahmed, PA-C
• Gabrielle Susana Ahumada
• Sonia Eghe Aikhionbare
• Aima Health Care, LLC (Aima Home Health)
• Shahrouz Akhavan, D.D.S.
• Esther O Akindayomi, CRNA
• Adetutu Alake Akinyode, MD
• Ghassan Al-Hammami, M.D
• Waleed S Al-Hassan, DDS

• Developmental - Behavioral Pediatrics Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Developmental - Behavioral Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.