Elite Phc Corporation | |
220 E Ocean Blvd Los Fresnos TX 78566-3227 | |
(956) 233-1202 | |
(956) 233-1175 |
Full Name | Elite Phc Corporation |
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Speciality | Clinic/center - Primary Care |
Location | 220 E Ocean Blvd, Los Fresnos, Texas |
Authorized Official Name and Position | Gaines Louis Burns (CEO) |
Authorized Official Contact | 9562331202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Phc Corporation 220 E Ocean Blvd Los Fresnos TX 78566-3227 Ph: (956) 233-1202 | Elite Phc Corporation 220 E Ocean Blvd Los Fresnos TX 78566-3227 Ph: (956) 233-1202 |
NPI Number | 1477602175 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 03/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477602175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 007352 (Texas) | Primary |
Jk Medical Clinic Los Fresnos Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 W Ocean Blvd, Los Fresnos, TX 78566 Phone: 956-233-2933 Fax: 956-433-0160 | |
Los Fresnos Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 725 W Ocean Blvd, Los Fresnos, TX 78566 Phone: 956-233-3443 Fax: 956-233-3407 |