| Clinica San Jose Pllc | |
|
2512 Mickelson Laredo TX 78045-8647 | |
| (956) 452-1457 | |
| Not Available |
| Full Name | Clinica San Jose Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2512 Mickelson, Laredo, Texas |
| Authorized Official Name and Position | Jorge Gomez-vazquez (OWNER) |
| Authorized Official Contact | 9564521457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica San Jose Pllc 2512 Mickelson Laredo TX 78045-8647 Ph: () - | Clinica San Jose Pllc 2512 Mickelson Laredo TX 78045-8647 Ph: (956) 452-1457 |
| NPI Number | 1184452153 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184452153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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