Mdpa, Pllc | |
926 W Sam Houston Blvd Ste 1 Pharr TX 78577-5201 | |
(956) 783-1000 | |
Not Available |
Full Name | Mdpa, Pllc |
---|---|
Speciality | Family Medicine |
Location | 926 W Sam Houston Blvd Ste 1, Pharr, Texas |
Authorized Official Name and Position | Antonio Esparza (PRESIDENT) |
Authorized Official Contact | 9567831000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mdpa, Pllc 900 W Sam Houston Blvd Ste 1 Pharr TX 78577-5215 Ph: (956) 783-1000 | Mdpa, Pllc 926 W Sam Houston Blvd Ste 1 Pharr TX 78577-5201 Ph: (956) 783-1000 |
NPI Number | 1518723113 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 02/22/2024 |
Medicare PECOS PAC ID | 6608215348 |
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Medicare Enrollment ID | O20240415002748 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518723113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Antonio Esparza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982661518 PECOS PAC ID: 3274572003 Enrollment ID: I20240415003155 |
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