Provider Demographics
NPI:1386720944
Name:RECTO, GESINA N (MD)
Entity type:Individual
Prefix:MRS
First Name:GESINA
Middle Name:N
Last Name:RECTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 MCPHERSON RD. STE214
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041
Mailing Address - Country:US
Mailing Address - Phone:956-795-8585
Mailing Address - Fax:956-795-8558
Practice Address - Street 1:6801 MCPHERSON RD. STE214
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-795-8585
Practice Address - Fax:956-795-8558
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9881208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX753018505OtherTAX I.D.
TX037593302Medicaid