| Abreu Adult Clinic P A | |
|
910 S Bryan Rd Ste 105 Mission TX 78572-6615 | |
| (956) 581-0539 | |
| (956) 585-0745 |
| Full Name | Abreu Adult Clinic P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 910 S Bryan Rd Ste 105, Mission, Texas |
| Authorized Official Name and Position | Charity Virginia Abreu-lawrence (PRESIDENT) |
| Authorized Official Contact | 9565810539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abreu Adult Clinic P A 910 S Bryan Rd Suite 105 Mission TX 78572-6658 Ph: (956) 581-0539 | Abreu Adult Clinic P A 910 S Bryan Rd Ste 105 Mission TX 78572-6615 Ph: (956) 581-0539 |
| NPI Number | 1780712620 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 1850423948 |
|---|---|
| Medicare Enrollment ID | O20100726000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780712620 | NPI | - | NPPES |
| 096777002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J8856 (Texas) | Primary |
| Provider Name | Charity V Abreu-lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902800402 PECOS PAC ID: 7719883727 Enrollment ID: I20100726000570 |
| Provider Name | Rebecca Michelle Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083693 PECOS PAC ID: 4082919105 Enrollment ID: I20160226000478 |
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