| Guajira Family Clinic & Diabetes Care | |
|
1900 S Jackson Rd Ste 9 Mcallen TX 78503-1589 | |
| (956) 687-6667 | |
| (956) 618-1075 |
| Full Name | Guajira Family Clinic & Diabetes Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 S Jackson Rd Ste 9, Mcallen, Texas |
| Authorized Official Name and Position | Olga L Gonzalez (BILLING OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9566314496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guajira Family Clinic & Diabetes Care 1900 S Jackson Rd Ste 9 Mcallen TX 78503-1589 Ph: (956) 687-6667 | Guajira Family Clinic & Diabetes Care 1900 S Jackson Rd Ste 9 Mcallen TX 78503-1589 Ph: (956) 687-6667 |
| NPI Number | 1407035298 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 12/02/2009 |
| Medicare PECOS PAC ID | 5193749455 |
|---|---|
| Medicare Enrollment ID | O20060125000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407035298 | NPI | - | NPPES |
| OA3510 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3740 (Texas) | Primary |
| Provider Name | Enrique J Griego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164432506 PECOS PAC ID: 0143244418 Enrollment ID: I20060125000734 |
| Provider Name | Dulce Maria Griego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598384588 PECOS PAC ID: 4587048897 Enrollment ID: I20231026000900 |
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