| |
1011 S Closner Blvd, Edinburg, TX 78539-5659 | |
(956) 383-0191 | |
(956) 383-7249 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 1011 S Closner Blvd, Edinburg, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124264155 | NPI | - | NPPES |
001445801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | 4989 (Texas) | Primary |
Provider Name | Jon Paul Patterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033294244 PECOS PAC ID: 9234174467 Enrollment ID: I20090619000364 |
Mailing Address | Practice Location Address |
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1011 S Closner Blvd, Edinburg, TX 78539-5659 Ph: (956) 383-0191 | 1011 S Closner Blvd, Edinburg, TX 78539-5659 Ph: (956) 383-0191 |