| Doctor's Clinic Of Rio Grande City Pllc | |
|
208 N Britton Ave Rio Grande City TX 78582-3843 | |
| (210) 560-8646 | |
| Not Available |
| Full Name | Doctor's Clinic Of Rio Grande City Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 208 N Britton Ave, Rio Grande City, Texas |
| Authorized Official Name and Position | Patricia Laurel (MD) |
| Authorized Official Contact | 2105608646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor's Clinic Of Rio Grande City Pllc 208 N Britton Ave Rio Grande City TX 78582-3843 Ph: (210) 560-8646 | Doctor's Clinic Of Rio Grande City Pllc 208 N Britton Ave Rio Grande City TX 78582-3843 Ph: (210) 560-8646 |
| NPI Number | 1679026488 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 01/03/2017 |
| Medicare PECOS PAC ID | 3173804069 |
|---|---|
| Medicare Enrollment ID | O20170109001769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679026488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N1378 (Texas) | Primary |
| 208600000X | Surgery | N9209 (Texas) | Secondary |
| Provider Name | Patricia Laurel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679728364 PECOS PAC ID: 4981768686 Enrollment ID: I20090124000063 |
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