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1914 E Griffin Pkwy, Mission, TX 78572-3106 | |
(956) 580-3277 | |
(956) 580-3279 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 1914 E Griffin Pkwy, Mission, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720376361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | 51085 (Texas) | Primary |
Provider Name | Patricia Flores Roldan |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1154646073 PECOS PAC ID: 2961686571 Enrollment ID: I20110406000272 |
Mailing Address | Practice Location Address |
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2102 Crystal Dr, Mission, TX 78572-7781 Ph: (956) 580-3277 | 1914 E Griffin Pkwy, Mission, TX 78572-3106 Ph: (956) 580-3277 |
Renaissance Outpatient Rehabilitation Center, Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2010 E Griffin Pkwy, Mission, TX 78572 Phone: 956-583-2600 Fax: 956-583-8580 |