| Clinica Emmanuel Ninos Y Adultos Llc | |
|
9927 State Highway 107 Mission TX 78573-7860 | |
| (956) 580-9071 | |
| (956) 580-9087 |
| Full Name | Clinica Emmanuel Ninos Y Adultos Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9927 State Highway 107, Mission, Texas |
| Authorized Official Name and Position | Agustin B Mego (OWNER) |
| Authorized Official Contact | 9565809071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Emmanuel Ninos Y Adultos Llc Po Box 787 Mission TX 78573-0013 Ph: (956) 580-9071 | Clinica Emmanuel Ninos Y Adultos Llc 9927 State Highway 107 Mission TX 78573-7860 Ph: (956) 580-9071 |
| NPI Number | 1881048049 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 7719277037 |
|---|---|
| Medicare Enrollment ID | O20160527000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881048049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Agustin B Mego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831176452 PECOS PAC ID: 5698731453 Enrollment ID: I20041203000656 |
| Provider Name | Daniel Mego Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821451519 PECOS PAC ID: 4082904305 Enrollment ID: I20160601000771 |
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