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1002 W Sam Houston St Suite 4 Pharr TX 78577-5224 | |
| (956) 783-1400 | |
| (956) 783-8818 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1002 W Sam Houston St, Pharr, Texas |
| Authorized Official Name and Position | Monica Perez (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9567831400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1002 W Sam Houston St Suite 4 Pharr TX 78577-5224 Ph: (956) 783-1400 | 1002 W Sam Houston St Suite 4 Pharr TX 78577-5224 Ph: (956) 783-1400 |
| NPI Number | 1396867636 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396867636 | NPI | - | NPPES |
| 188156701 | Medicaid | TX | |
| 0026PD | Other | TX | BCBS OF TX GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1856 (Texas) | Primary |
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