Provider Demographics
NPI:1194792622
Name:TIJERINA, ORLANDO S (MD)
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:S
Last Name:TIJERINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ORLANDO
Other - Middle Name:S
Other - Last Name:TIJERINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1200 E SAVANNAH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1728
Mailing Address - Country:US
Mailing Address - Phone:956-328-0881
Mailing Address - Fax:956-630-9708
Practice Address - Street 1:1200 E SAVANNAH AVE STE 3
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1728
Practice Address - Country:US
Practice Address - Phone:956-328-0881
Practice Address - Fax:956-620-9708
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2797207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152321903Medicaid
TX8C0244Medicare ID - Type Unspecified