| Falfurrias Family Clinic, Pllc | |
|
1204 S Saint Marys St Falfurrias TX 78355-5033 | |
| (361) 323-2110 | |
| (361) 323-2118 |
| Full Name | Falfurrias Family Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1204 S Saint Marys St, Falfurrias, Texas |
| Authorized Official Name and Position | Mario Luis Vasquez Aguilar (SOLE MEMBER) |
| Authorized Official Contact | 9177332815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Falfurrias Family Clinic, Pllc 1204 S Saint Marys St Falfurrias TX 78355-5033 Ph: (361) 323-2110 | Falfurrias Family Clinic, Pllc 1204 S Saint Marys St Falfurrias TX 78355-5033 Ph: (361) 323-2110 |
| NPI Number | 1215384607 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 0244522878 |
|---|---|
| Medicare Enrollment ID | O20160630000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215384607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | N7368 (Texas) | Primary |
| Provider Name | Mario Luis Vasquez Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275846156 PECOS PAC ID: 3375723893 Enrollment ID: I20110215000712 |
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