| Adult Health Clinic | |
|
1519 E Bustamante St Ste B Laredo TX 78041-5305 | |
| (956) 230-8242 | |
| Not Available |
| Full Name | Adult Health Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1519 E Bustamante St Ste B, Laredo, Texas |
| Authorized Official Name and Position | Amando Garza (PHYSICIAN) |
| Authorized Official Contact | 9562308242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Health Clinic 1519 E Bustamante St Ste B Laredo TX 78041-5305 Ph: (956) 230-8242 | Adult Health Clinic 1519 E Bustamante St Ste B Laredo TX 78041-5305 Ph: (956) 230-8242 |
| NPI Number | 1225584113 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 11/10/2016 |
| Medicare PECOS PAC ID | 5193004844 |
|---|---|
| Medicare Enrollment ID | O20161121000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225584113 | NPI | - | NPPES |
| 1174883177 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Q6414 (Texas) | Primary |
| Provider Name | Armando Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174883177 PECOS PAC ID: 0042520983 Enrollment ID: I20151105001557 |
| Provider Name | Katherine N Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346916699 PECOS PAC ID: 5698167781 Enrollment ID: I20220124000543 |
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