Adira Physician Partners, Pllc | |
6999 Mcpherson Rd Ste 108 Laredo TX 78041-6450 | |
(860) 335-6456 | |
(512) 582-8585 |
Full Name | Adira Physician Partners, Pllc |
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Speciality | Family Medicine |
Location | 6999 Mcpherson Rd Ste 108, Laredo, Texas |
Authorized Official Name and Position | Victor Burgos (OWNER) |
Authorized Official Contact | 8179135563 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adira Physician Partners, Pllc 10055 Tulare Ln Fort Worth TX 76177-7397 Ph: (817) 913-5563 | Adira Physician Partners, Pllc 6999 Mcpherson Rd Ste 108 Laredo TX 78041-6450 Ph: (860) 335-6456 |
NPI Number | 1356077143 |
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Provider Enumeration Date | 07/25/2022 |
Last Update Date | 08/04/2022 |
Medicare PECOS PAC ID | 7416331186 |
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Medicare Enrollment ID | O20220829003633 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356077143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Victor M Burgos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285851865 PECOS PAC ID: 3779704002 Enrollment ID: I20150507000976 |
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