| Jose Manuel Ugarte | |
|
1311 E General Cavazos Blvd Ste L Kingsville TX 78363 | |
| (361) 221-1087 | |
| (361) 488-5030 |
| Full Name | Jose Manuel Ugarte |
|---|---|
| Speciality | Family Medicine |
| Location | 1311 E General Cavazos Blvd Ste L, Kingsville, Texas |
| Authorized Official Name and Position | Jose Manuel Ugarte (OWNER) |
| Authorized Official Contact | 3612211087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Manuel Ugarte Po Box 1557 Kingsville TX 78364-1557 Ph: (361) 221-1087 | Jose Manuel Ugarte 1311 E General Cavazos Blvd Ste L Kingsville TX 78363 Ph: (361) 221-1087 |
| NPI Number | 1437317294 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 09/22/2023 |
| Medicare PECOS PAC ID | 3274981774 |
|---|---|
| Medicare Enrollment ID | O20231121003978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437317294 | NPI | - | NPPES |
| 136466303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E3134 (Texas) | Primary |
| Provider Name | Jose M Ugarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457333882 PECOS PAC ID: 6305875949 Enrollment ID: I20050804000482 |
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