| Federico Ilang-ilang | |
|
602 Hurst St Center TX 75935-3414 | |
| (432) 638-7966 | |
| Not Available |
| Full Name | Federico Ilang-ilang |
|---|---|
| Speciality | Internal Medicine |
| Location | 602 Hurst St, Center, Texas |
| Authorized Official Name and Position | Federico P Ilang-ilang (OWNER) |
| Authorized Official Contact | 4326387966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Federico Ilang-ilang 401 Waverly Dr Midland TX 79703-6521 Ph: (432) 638-7966 | Federico Ilang-ilang 602 Hurst St Center TX 75935-3414 Ph: (432) 638-7966 |
| NPI Number | 1881380293 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 7214395342 |
|---|---|
| Medicare Enrollment ID | O20230622001810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881380293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Federico P Ilang Ilang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417985300 PECOS PAC ID: 1951371160 Enrollment ID: I20040727000517 |
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