Family Checkup | |
400 W Us Highway 77 San Benito TX 78586-5148 | |
(956) 399-1641 | |
(956) 399-0312 |
Full Name | Family Checkup |
---|---|
Speciality | Nurse Practitioner - Family |
Location | 400 W Us Highway 77, San Benito, Texas |
Authorized Official Name and Position | Leonorilda Hines (FNP) |
Authorized Official Contact | 9563991641 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Checkup 400 W Us Highway 77 San Benito TX 78586-5148 Ph: (956) 399-1641 | Family Checkup 400 W Us Highway 77 San Benito TX 78586-5148 Ph: (956) 399-1641 |
NPI Number | 1780969709 |
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Provider Enumeration Date | 10/21/2011 |
Last Update Date | 12/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780969709 | NPI | - | NPPES |
641882 | Other | TX | LICENSE NUMBER |
TXB140393 | Other | TX | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 641882 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 641882 (Texas) | Primary |
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