| Jesus S Pineda M.d.p.a. | |
|
201 W Del Mar Blvd 7a Laredo TX 78041-2240 | |
| (956) 727-0849 | |
| (956) 712-2814 |
| Full Name | Jesus S Pineda M.d.p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 201 W Del Mar Blvd, Laredo, Texas |
| Authorized Official Name and Position | Jesus S Pineda (PRESIDENT) |
| Authorized Official Contact | 9567270849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus S Pineda M.d.p.a. 10604 Kirby Dr Laredo TX 78045-8471 Ph: (956) 727-0849 | Jesus S Pineda M.d.p.a. 201 W Del Mar Blvd 7a Laredo TX 78041-2240 Ph: (956) 727-0849 |
| NPI Number | 1013203124 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 06/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013203124 | NPI | - | NPPES |
| 135390604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G7419 (Texas) | Primary |
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