| Medical & Psychiatric Associates Of South Texas, Pllc | |
|
2101 Pease St Harlingen TX 78550-8307 | |
| (956) 800-4014 | |
| (956) 800-4012 |
| Full Name | Medical & Psychiatric Associates Of South Texas, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2101 Pease St, Harlingen, Texas |
| Authorized Official Name and Position | Evelia Kudisch (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9568004014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical & Psychiatric Associates Of South Texas, Pllc 323 Nightingale Ave Mcallen TX 78504-1714 Ph: (956) 800-4014 | Medical & Psychiatric Associates Of South Texas, Pllc 2101 Pease St Harlingen TX 78550-8307 Ph: (956) 800-4014 |
| NPI Number | 1881074110 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 8628383312 |
|---|---|
| Medicare Enrollment ID | O20150810001388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881074110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alejandro D Kudisch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992776363 PECOS PAC ID: 6204985625 Enrollment ID: I20090514000137 |
| Provider Name | Michael F Salib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710187968 PECOS PAC ID: 6305985110 Enrollment ID: I20091207000614 |
| Provider Name | Robert Guevara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447310776 PECOS PAC ID: 4183776081 Enrollment ID: I20150813009364 |
| Provider Name | Hermes Mendoza-zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164964805 PECOS PAC ID: 0244515310 Enrollment ID: I20170403001068 |
| Provider Name | Anthoney Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689339814 PECOS PAC ID: 0941691687 Enrollment ID: I20220106002131 |
| Provider Name | Anthony John Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144988775 PECOS PAC ID: 7517352313 Enrollment ID: I20220314001603 |
| Provider Name | Nadia Theys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618442 PECOS PAC ID: 1355736026 Enrollment ID: I20220315002268 |
| Provider Name | David Lee Valdez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982166658 PECOS PAC ID: 7113381302 Enrollment ID: I20230906002267 |
| Provider Name | Clatus Ndubuisi Obinwanne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457133373 PECOS PAC ID: 6901256858 Enrollment ID: I20231219001957 |
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