| Canova Internal Medicine Clinic,pa. | |
|
6602 Polaris Dr. Ste 5 Laredo TX 78041 | |
| (956) 791-1414 | |
| (956) 796-9495 |
| Full Name | Canova Internal Medicine Clinic,pa. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6602 Polaris Dr., Laredo, Texas |
| Authorized Official Name and Position | Eduardo Carlos Canova (PRESIDENT) |
| Authorized Official Contact | 9567911414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canova Internal Medicine Clinic,pa. 6602 Polaris Drive Ste 5 Laredo TX 78041 Ph: (956) 791-1414 | Canova Internal Medicine Clinic,pa. 6602 Polaris Dr. Ste 5 Laredo TX 78041 Ph: (956) 791-1414 |
| NPI Number | 1558643478 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558643478 | NPI | - | NPPES |
| B0183294 | Other | TX | DPS |
| P0706 | Other | TX | TX-LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P0706 (Texas) | Primary |
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