M & M North, Llp | |
4365 S. Expressway 77/83 Suite 800 Brownsville TX 78520-8489 | |
(956) 350-4903 | |
(956) 350-4904 |
Full Name | M & M North, Llp |
---|---|
Speciality | Family Medicine |
Location | 4365 S. Expressway 77/83, Brownsville, Texas |
Authorized Official Name and Position | Mir S Ali (PARTNER) |
Authorized Official Contact | 9565486666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
M & M North, Llp 1474 W Price Rd Box 602 Brownsville TX 78520-8675 Ph: (956) 548-6666 | M & M North, Llp 4365 S. Expressway 77/83 Suite 800 Brownsville TX 78520-8489 Ph: (956) 350-4903 |
NPI Number | 1861426934 |
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Provider Enumeration Date | 07/11/2006 |
Last Update Date | 10/31/2008 |
Medicare PECOS PAC ID | 2567466519 |
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Medicare Enrollment ID | O20060905000341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861426934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Humberto H De La Vega |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417933102 PECOS PAC ID: 3870506421 Enrollment ID: I20060726000241 |
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