Emmanuel Clinic Children And Adults | |
3601 Buddy Owens Ave Ste 100 Mcallen TX 78504-6447 | |
(956) 686-6346 | |
(956) 686-6347 |
Full Name | Emmanuel Clinic Children And Adults |
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Speciality | Family Medicine |
Location | 3601 Buddy Owens Ave Ste 100, Mcallen, Texas |
Authorized Official Name and Position | Agustin B Mego (OWNER) |
Authorized Official Contact | 9566866346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emmanuel Clinic Children And Adults 3601 Buddy Owens Ave Ste 100 Mcallen TX 78504-6447 Ph: (956) 686-6346 | Emmanuel Clinic Children And Adults 3601 Buddy Owens Ave Ste 100 Mcallen TX 78504-6447 Ph: (956) 686-6346 |
NPI Number | 1669803102 |
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Provider Enumeration Date | 12/10/2013 |
Last Update Date | 08/21/2024 |
Medicare PECOS PAC ID | 8729218458 |
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Medicare Enrollment ID | O20140225001958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669803102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L9808 (Texas) | Primary |
Provider Name | Agustin B Mego |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831176452 PECOS PAC ID: 5698731453 Enrollment ID: I20041203000656 |
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