| Buentello Medical And Wellness Center | |
|
801 E Nolana Ave Suite 17 Mcallen TX 78504-6104 | |
| (956) 630-1616 | |
| (956) 630-4733 |
| Full Name | Buentello Medical And Wellness Center |
|---|---|
| Speciality | General Practice |
| Location | 801 E Nolana Ave, Mcallen, Texas |
| Authorized Official Name and Position | Luis Buentello (ADMINISTRATOR) |
| Authorized Official Contact | 9566301616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buentello Medical And Wellness Center 801 E Nolana Ave Suite 17 Mcallen TX 78504-6104 Ph: (956) 630-1616 | Buentello Medical And Wellness Center 801 E Nolana Ave Suite 17 Mcallen TX 78504-6104 Ph: (956) 630-1616 |
| NPI Number | 1497089031 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 11/12/2009 |
| Medicare PECOS PAC ID | 8426172495 |
|---|---|
| Medicare Enrollment ID | O20100826001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497089031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E1821 (Texas) | Primary |
| Provider Name | Socrates A Garrigos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821052499 PECOS PAC ID: 1850461393 Enrollment ID: I20080610000351 |
| Provider Name | Gustavo Buentello |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508951682 PECOS PAC ID: 5799809760 Enrollment ID: I20100826001190 |
| Provider Name | Luis D Buentello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083738231 PECOS PAC ID: 9931119245 Enrollment ID: I20130805000616 |
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