| Family Medicine Associates P A | |
|
1500 S Bryan Rd Mission TX 78572-6672 | |
| (956) 580-3100 | |
| (956) 585-9921 |
| Full Name | Family Medicine Associates P A |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 S Bryan Rd, Mission, Texas |
| Authorized Official Name and Position | Javier Murillo (PRESIDENT) |
| Authorized Official Contact | 9565803100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Associates P A 1500 S Bryan Rd Mission TX 78572 Ph: (956) 580-3100 | Family Medicine Associates P A 1500 S Bryan Rd Mission TX 78572-6672 Ph: (956) 580-3100 |
| NPI Number | 1295808293 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 06/17/2011 |
| Medicare PECOS PAC ID | 9335197391 |
|---|---|
| Medicare Enrollment ID | O20050106000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295808293 | NPI | - | NPPES |
| 1608416 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| Provider Name | Javier Murillo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235293085 PECOS PAC ID: 9830130491 Enrollment ID: I20080411000466 |
| Provider Name | Irasema B Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023399169 PECOS PAC ID: 2466617667 Enrollment ID: I20120712000584 |
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