Medical Associates Of Brownsville Pa | |
425 E Los Ebanos Blvd Ste 100 Brownsville TX 78520 | |
(956) 546-3116 | |
(956) 546-8793 |
Full Name | Medical Associates Of Brownsville Pa |
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Speciality | Internal Medicine |
Location | 425 E Los Ebanos Blvd, Brownsville, Texas |
Authorized Official Name and Position | Chris A. Tryka (BILLING MANAGER) |
Authorized Official Contact | 9565463116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Associates Of Brownsville Pa 425 E Los Ebanos Blvd Suite 100 Brownsville TX 78520-8481 Ph: (956) 546-3116 | Medical Associates Of Brownsville Pa 425 E Los Ebanos Blvd Ste 100 Brownsville TX 78520 Ph: (956) 546-3116 |
NPI Number | 1912973108 |
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Provider Enumeration Date | 02/27/2006 |
Last Update Date | 06/13/2024 |
Medicare PECOS PAC ID | 5991775835 |
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Medicare Enrollment ID | O20041207000544 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912973108 | NPI | - | NPPES |
1912973108 | Other | NPI | |
080669701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J9070 (Texas) | Primary |
Provider Name | Wayne C Dodd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346344595 PECOS PAC ID: 7719915115 Enrollment ID: I20050727000830 |
Provider Name | Jorge R Guevara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629040654 PECOS PAC ID: 0143290080 Enrollment ID: I20100305000819 |
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