| Mathis Health & Wellness Clinic | |
|
1205 E San Patricio Ave Mathis TX 78368-2402 | |
| (361) 453-4470 | |
| (800) 621-5209 |
| Full Name | Mathis Health & Wellness Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1205 E San Patricio Ave, Mathis, Texas |
| Authorized Official Name and Position | Petra Deleon (OWNER) |
| Authorized Official Contact | 2109800885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathis Health & Wellness Clinic Po Box 61160 Corpus Christi TX 78466-1160 Ph: (361) 453-4470 | Mathis Health & Wellness Clinic 1205 E San Patricio Ave Mathis TX 78368-2402 Ph: (361) 453-4470 |
| NPI Number | 1942971353 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 04/11/2023 |
| Medicare PECOS PAC ID | 4981092327 |
|---|---|
| Medicare Enrollment ID | O20211103003275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942971353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Petra De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811340490 PECOS PAC ID: 3577843176 Enrollment ID: I20161216000197 |
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