Family Health Center Of Mission, Pllc | |
1920 E Griffin Pkwy Mission TX 78572-3106 | |
(956) 584-3353 | |
Not Available |
Full Name | Family Health Center Of Mission, Pllc |
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Speciality | Family Medicine |
Location | 1920 E Griffin Pkwy, Mission, Texas |
Authorized Official Name and Position | Jere M Johnson (PRESIDENT) |
Authorized Official Contact | 9565843353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Center Of Mission, Pllc 1920 E Griffin Pkwy Mission TX 78572-3106 Ph: (956) 584-3353 | Family Health Center Of Mission, Pllc 1920 E Griffin Pkwy Mission TX 78572-3106 Ph: (956) 584-3353 |
NPI Number | 1477901288 |
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Provider Enumeration Date | 06/02/2016 |
Last Update Date | 06/02/2016 |
Medicare PECOS PAC ID | 9638464399 |
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Medicare Enrollment ID | O20160822000039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477901288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mandie L Dykstra Navarro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689615536 PECOS PAC ID: 4082619044 Enrollment ID: I20060925000618 |
Provider Name | Jere M Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053355578 PECOS PAC ID: 5092710053 Enrollment ID: I20101208000156 |
Provider Name | Steven J Havener |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235172610 PECOS PAC ID: 0345437091 Enrollment ID: I20101208000182 |
Provider Name | Daniel R Contreras |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639496177 PECOS PAC ID: 6002077682 Enrollment ID: I20120406000275 |
Provider Name | Linda Jo Ruiz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841432762 PECOS PAC ID: 7911141486 Enrollment ID: I20130924000144 |
Provider Name | Eva Blanco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285018838 PECOS PAC ID: 8527355767 Enrollment ID: I20161003000546 |
Provider Name | Angela M Tanguma |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003332438 PECOS PAC ID: 6103191382 Enrollment ID: I20171016000103 |
Provider Name | Erica M Robles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790200368 PECOS PAC ID: 7416223458 Enrollment ID: I20171019000744 |
Provider Name | Tania Morales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902322258 PECOS PAC ID: 2264799618 Enrollment ID: I20171120003522 |
Provider Name | Marco A Escobedo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386038750 PECOS PAC ID: 2860787223 Enrollment ID: I20180102000217 |
Provider Name | Nallely Lozano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649756248 PECOS PAC ID: 8921357575 Enrollment ID: I20180815002841 |
Provider Name | Ashley D Rutledge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124679246 PECOS PAC ID: 6709218480 Enrollment ID: I20191119000349 |
Provider Name | Jennifer T Lopez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841757085 PECOS PAC ID: 3971939687 Enrollment ID: I20200128002152 |
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Women 4 Women Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2134 E Griffin Pkwy, Mission, TX 78572 Phone: 956-207-2433 | |
Brenda L Salinas Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2521 E Griffin Pkwy Ste A, Mission, TX 78572 Phone: 956-583-0300 Fax: 956-583-0320 | |
Luis Alberto Mata, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2118 E Griffin Pkwy, Mission, TX 78572 Phone: 956-581-2764 Fax: 956-581-9962 |