Healthcare Direct Inc. | |
630 N Ed Carey Dr Ste 200 Harlingen TX 78550-7987 | |
(956) 230-5758 | |
Not Available |
Full Name | Healthcare Direct Inc. |
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Speciality | Family Medicine |
Location | 630 N Ed Carey Dr Ste 200, Harlingen, Texas |
Authorized Official Name and Position | Dawn Molina (ADMINISTRATOR) |
Authorized Official Contact | 9567784322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthcare Direct Inc. 630 N Ed Carey Dr Ste 200 Harlingen TX 78550-7987 Ph: (956) 230-5758 | Healthcare Direct Inc. 630 N Ed Carey Dr Ste 200 Harlingen TX 78550-7987 Ph: (956) 230-5758 |
NPI Number | 1164048344 |
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Provider Enumeration Date | 06/23/2020 |
Last Update Date | 06/23/2020 |
Medicare PECOS PAC ID | 4385068121 |
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Medicare Enrollment ID | O20200727000676 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164048344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Oladayo Sanusi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871583526 PECOS PAC ID: 9638064751 Enrollment ID: I20050413000381 |
Provider Name | Diana Leal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730301748 PECOS PAC ID: 3476653791 Enrollment ID: I20170224002111 |
Provider Name | Ruby Reyes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538720040 PECOS PAC ID: 0143640524 Enrollment ID: I20201023002203 |
Provider Name | Shelia Ann Pruitt-orr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386974426 PECOS PAC ID: 5991029944 Enrollment ID: I20201023002682 |
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