Alejandro D. Kudisch M.D., PA

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

J7546 Issued in TX

Legal business name

ALEJANDRO D. KUDISCH M.D., PA

Practice address

110 E Savannah Ave
BLDG B -201
McAllen, TX 78503-1241

Phone

(956) 687-3000

Fax

(956) 687-7948

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro D Kudisch, M.D., DFAPA

Title

Psychiscian

Phone

(956) 687-3000

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Valley Family Guidance Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenia Iveth Walker, PA

  • Physician Assistant
  • Brownsville, TX
  • NPI 1902049661
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1346487972",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "110 EAST SAVANNAH",
            "address_2": "BLDG B -201",
            "city": "MCALLEN",
            "state": "TEXAS",
            "postal_code": "785031291",
            "telephone_number": "956-687-3000",
            "fax_number": "956-687-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE",
            "address_2": "BLDG B -201",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031241",
            "telephone_number": "956-687-3000",
            "fax_number": "956-687-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO D. KUDISCH M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "KUDISCH",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHISCIAN",
        "authorized_official_telephone_number": "956-687-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., DFAPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J7546",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J7546",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "J7546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133177905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Family Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child & Adolescent Psychiatry Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.