| Irina A. Minina, Md, Pllc | |
|
5241 Wilderness Drive Brownsville TX 78526-3937 | |
| (956) 542-2188 | |
| (956) 542-2190 |
| Full Name | Irina A. Minina, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5241 Wilderness Drive, Brownsville, Texas |
| Authorized Official Name and Position | Irina A Minina (MD) |
| Authorized Official Contact | 9565422188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irina A. Minina, Md, Pllc 1201 E. Alton Gloor Brownsville TX 78526-3937 Ph: (956) 542-2188 | Irina A. Minina, Md, Pllc 5241 Wilderness Drive Brownsville TX 78526-3937 Ph: (956) 542-2188 |
| NPI Number | 1417193954 |
|---|---|
| Provider Enumeration Date | 01/06/2009 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 9436213410 |
|---|---|
| Medicare Enrollment ID | O20090206000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417193954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N0982 (Texas) | Primary |
| Provider Name | Irina Minina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760647630 PECOS PAC ID: 2860569290 Enrollment ID: I20080925000728 |
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