| Complete Care Family Medical Clinic Pllc | |
|
2408 N Conway Ave Mission TX 78574-2347 | |
| (956) 585-3397 | |
| (956) 585-3363 |
| Full Name | Complete Care Family Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2408 N Conway Ave, Mission, Texas |
| Authorized Official Name and Position | Paul James Kinde (OWNER) |
| Authorized Official Contact | 9567036421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Family Medical Clinic Pllc 2304 Nicole Dr Mission TX 78574-9716 Ph: (975) 703-6421 | Complete Care Family Medical Clinic Pllc 2408 N Conway Ave Mission TX 78574-2347 Ph: (956) 585-3397 |
| NPI Number | 1558878249 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Medicare PECOS PAC ID | 5193085868 |
|---|---|
| Medicare Enrollment ID | O20180129002469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558878249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L6984 (Texas) | Primary |
| Provider Name | Paul J Kinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396768594 PECOS PAC ID: 4981689262 Enrollment ID: I20040621001649 |
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