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904 Corpus Christi St Laredo TX 78040-5277 | |
| (956) 725-0300 | |
| (956) 722-6174 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 904 Corpus Christi St, Laredo, Texas |
| Authorized Official Name and Position | Melchor Pablo Cardenas (MEDICAL DOCTOR) |
| Authorized Official Contact | 9567250300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
904 Corpus Christi St Laredo TX 78040-5277 Ph: (956) 725-0300 | 904 Corpus Christi St Laredo TX 78040-5277 Ph: (956) 725-0300 |
| NPI Number | 1316239155 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316239155 | NPI | - | NPPES |
| 353461201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K8049 (Texas) | Primary |
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