| Marilyn Asistores Quilon, Md.pa | |
|
1400 S Closner Blvd Edinburg TX 78539-6362 | |
| (956) 316-0860 | |
| Not Available |
| Full Name | Marilyn Asistores Quilon, Md.pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 S Closner Blvd, Edinburg, Texas |
| Authorized Official Name and Position | Marilyn S Asistores (OWNER) |
| Authorized Official Contact | 9563161839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn Asistores Quilon, Md.pa 1400 S Closner Blvd Edinburg TX 78539-5668 Ph: (956) 316-0860 | Marilyn Asistores Quilon, Md.pa 1400 S Closner Blvd Edinburg TX 78539-6362 Ph: (956) 316-0860 |
| NPI Number | 1053596320 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 3779540281 |
|---|---|
| Medicare Enrollment ID | O20090216000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053596320 | NPI | - | NPPES |
| 0023QV | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J2485 (Texas) | Primary |
| Provider Name | Marilyn Asistores-quilon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659488120 PECOS PAC ID: 9436117405 Enrollment ID: I20041221001007 |
| Provider Name | Alberto Jehu Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588964621 PECOS PAC ID: 6608100672 Enrollment ID: I20190625001698 |
| Provider Name | Gerard Achilles M Obnial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427692144 PECOS PAC ID: 4880020247 Enrollment ID: I20200203000723 |
| Provider Name | Ferich Junio Regunan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437632619 PECOS PAC ID: 6406285352 Enrollment ID: I20200329000667 |
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