| Amistad Medical Professionals | |
|
1200 N Bedell Ave Del Rio TX 78840-4491 | |
| (830) 774-2505 | |
| (830) 774-2394 |
| Full Name | Amistad Medical Professionals |
|---|---|
| Speciality | General Practice |
| Location | 1200 N Bedell Ave, Del Rio, Texas |
| Authorized Official Name and Position | Adrian F Larson (CLINIC DIRECTOR) |
| Authorized Official Contact | 8307742505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amistad Medical Professionals 1200 N Bedell Ave Del Rio TX 78840-4491 Ph: (830) 774-2505 | Amistad Medical Professionals 1200 N Bedell Ave Del Rio TX 78840-4491 Ph: (830) 774-2505 |
| NPI Number | 1205188455 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205188455 | NPI | - | NPPES |
| 281839501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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