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327 W Ocean Blvd Los Fresnos TX 78566-3627 | |
(956) 233-2933 | |
(956) 433-0160 |
Full Name | |
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Speciality | Clinic/Center |
Location | 327 W Ocean Blvd, Los Fresnos, Texas |
Authorized Official Name and Position | Kazim Hussain (OWNER) |
Authorized Official Contact | 9564559229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4550 Sol Rd Brownsville TX 78526-9723 Ph: (956) 233-2933 | 327 W Ocean Blvd Los Fresnos TX 78566-3627 Ph: (956) 233-2933 |
NPI Number | 1093560856 |
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Provider Enumeration Date | 04/23/2024 |
Last Update Date | 06/04/2024 |
Medicare PECOS PAC ID | 2365987955 |
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Medicare Enrollment ID | O20240708002236 |
Identifier | Type | State | Issuer |
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1093560856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kazim Hussain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609842509 PECOS PAC ID: 7719935782 Enrollment ID: I20050106000155 |
Provider Name | Rhonda K Munoz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376017301 PECOS PAC ID: 6901147438 Enrollment ID: I20190411000282 |
Provider Name | Richard Cortez Camarillo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982476321 PECOS PAC ID: 8325488562 Enrollment ID: I20240503003231 |
Provider Name | Cynthia Margarita Olvera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225894074 PECOS PAC ID: 3779027677 Enrollment ID: I20240702004129 |
Provider Name | Catherine Camarillo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801109715 PECOS PAC ID: 6608057872 Enrollment ID: I20240717002831 |
Elite Phc Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 E Ocean Blvd, Los Fresnos, TX 78566 Phone: 956-233-1202 Fax: 956-233-1175 | |