| Clinica De Pueblo De Palmas, Inc | |
|
3204 Mile 5 Rd Mission TX 78574-6206 | |
| (956) 424-9863 | |
| (956) 424-9868 |
| Full Name | Clinica De Pueblo De Palmas, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3204 Mile 5 Rd, Mission, Texas |
| Authorized Official Name and Position | Dee Trevino (OFFICE MANAGER) |
| Authorized Official Contact | 9567925606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Pueblo De Palmas, Inc 3204 Mile 5 Rd Mission TX 78574-6206 Ph: (956) 424-9863 | Clinica De Pueblo De Palmas, Inc 3204 Mile 5 Rd Mission TX 78574-6206 Ph: (956) 424-9863 |
| NPI Number | 1023315967 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 08/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023315967 | NPI | - | NPPES |
| 801379109 | Other | TX | INCORPORATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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