| Elsa Medical Clinic | |
|
101 South Broadway Elsa TX 78543 | |
| (956) 262-1304 | |
| (956) 262-3929 |
| Full Name | Elsa Medical Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 101 South Broadway, Elsa, Texas |
| Authorized Official Name and Position | Jose Fernando Pena (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9562621304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elsa Medical Clinic Po Box 3706 Mcallen TX 78502-3706 Ph: (956) 262-1304 | Elsa Medical Clinic 101 South Broadway Elsa TX 78543 Ph: (956) 262-1304 |
| NPI Number | 1770510661 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770510661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | J9264 (Texas) | Primary |
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