| Advanced Family Care Pllc | |
|
303 Conquest Blvd Edinburg TX 78539-3040 | |
| (956) 720-0450 | |
| (956) 720-0451 |
| Full Name | Advanced Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 303 Conquest Blvd, Edinburg, Texas |
| Authorized Official Name and Position | Argelia Clementina Douglas (OWNER) |
| Authorized Official Contact | 9567200450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Care Pllc 303 Conquest Edinburg TX 78539-3040 Ph: (956) 720-0450 | Advanced Family Care Pllc 303 Conquest Blvd Edinburg TX 78539-3040 Ph: (956) 720-0450 |
| NPI Number | 1144921891 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 4486029063 |
|---|---|
| Medicare Enrollment ID | O20230413000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144921891 | NPI | - | NPPES |
| 039845505 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marlen Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679809446 PECOS PAC ID: 4284759911 Enrollment ID: I20100917000373 |
| Provider Name | Argelia Clementina Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649360439 PECOS PAC ID: 5395110977 Enrollment ID: I20230413000123 |
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