| Medicine Clinic | |
|
9963a Alameda Ave Socorro TX 79927-2963 | |
| (915) 872-0477 | |
| (915) 872-0484 |
| Full Name | Medicine Clinic |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 9963a Alameda Ave, Socorro, Texas |
| Authorized Official Name and Position | Adrian O. Ugarte (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9158720477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine Clinic 9963a Alameda Ave Socorro TX 79927-2963 Ph: (915) 872-0477 | Medicine Clinic 9963a Alameda Ave Socorro TX 79927-2963 Ph: (915) 872-0477 |
| NPI Number | 1013259811 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013259811 | NPI | - | NPPES |
| 127013402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J6784 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 534465 (Texas) | Primary |
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