Clinica Familiar San Jose, Pa | |
8030 N Fm 1015 Ste B Mercedes TX 78570-4809 | |
(956) 825-9757 | |
(956) 825-9125 |
Full Name | Clinica Familiar San Jose, Pa |
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Speciality | Family Medicine |
Location | 8030 N Fm 1015 Ste B, Mercedes, Texas |
Authorized Official Name and Position | Judy L Kutugata (BUSINESS MANAGER) |
Authorized Official Contact | 9569692904 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinica Familiar San Jose, Pa 8030 Fm 1015 Ste B Mercedes TX 78570-4809 Ph: (956) 825-9757 | Clinica Familiar San Jose, Pa 8030 N Fm 1015 Ste B Mercedes TX 78570-4809 Ph: (956) 825-9757 |
NPI Number | 1174604763 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 07/17/2013 |
Medicare PECOS PAC ID | 6800827478 |
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Medicare Enrollment ID | O20051104000231 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174604763 | NPI | - | NPPES |
117223100 | Other | TX | VALLEY HEALTH PLANS |
8U4260 | Other | TX | BC/BS OF TEXAS |
176879802 | Medicaid | TX | |
176879801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TA03917 (Texas) | Primary |
Provider Name | Jorge L Kutugata |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285748996 PECOS PAC ID: 1355372921 Enrollment ID: I20050823000824 |
Nuestra Clinica Del Valle Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 W 1st St, Mercedes, TX 78570 Phone: 956-565-3191 Fax: 956-514-4978 | |
Mercedes Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N Ohio Ave, Mercedes, TX 78570 Phone: 956-565-1561 Fax: 956-565-5373 | |
Benjamin A. Salinas Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W 2nd St, Mercedes, TX 78570 Phone: 956-565-6373 Fax: 956-565-6177 |