| Family Specialists Medical Center Pa | |
|
1605 E Expressway 83 Suite D Mission TX 78572-6616 | |
| (956) 585-1564 | |
| (956) 585-2830 |
| Full Name | Family Specialists Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1605 E Expressway 83, Mission, Texas |
| Authorized Official Name and Position | Felipe De Jesus Gomez (PRESIDENT) |
| Authorized Official Contact | 9565851564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Specialists Medical Center Pa 2401 Se Augusta Sq Mcallen TX 78503-1105 Ph: (956) 585-1564 | Family Specialists Medical Center Pa 1605 E Expressway 83 Suite D Mission TX 78572-6616 Ph: (956) 585-1564 |
| NPI Number | 1700067808 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 03/29/2012 |
| Medicare PECOS PAC ID | 9234391616 |
|---|---|
| Medicare Enrollment ID | O20120501000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700067808 | NPI | - | NPPES |
| 0031DM | Other | TX | BCBS |
| 092297301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4825 (Texas) | Primary |
| Provider Name | Felipe D Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003934365 PECOS PAC ID: 7517916380 Enrollment ID: I20050119000458 |
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