Father O'brien Health Clinic | |
142 Champion Ave Port Isabel TX 78578-2908 | |
(956) 943-1300 | |
Not Available |
Full Name | Father O'brien Health Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 142 Champion Ave, Port Isabel, Texas |
Authorized Official Name and Position | Paula S. Gomez (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9565487440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Father O'brien Health Clinic 2137 E 22nd St Brownsville TX 78521-2908 Ph: (956) 548-7400 | Father O'brien Health Clinic 142 Champion Ave Port Isabel TX 78578-2908 Ph: (956) 943-1300 |
NPI Number | 1245421783 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 10/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245421783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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