| Medico Healthcare, Pllc | |
|
13650 Eastlake Blvd Ste A-104 Horizon City TX 79928-7473 | |
| (915) 314-9200 | |
| Not Available |
| Full Name | Medico Healthcare, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13650 Eastlake Blvd Ste A-104, Horizon City, Texas |
| Authorized Official Name and Position | Juan Carlos Israel Hernandez Garcia (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9152608013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medico Healthcare, Pllc 13650 Eastlake Blvd Ste A-104 Horizon City TX 79928-7473 Ph: (915) 260-8013 | Medico Healthcare, Pllc 13650 Eastlake Blvd Ste A-104 Horizon City TX 79928-7473 Ph: (915) 314-9200 |
| NPI Number | 1104529320 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 0143687640 |
|---|---|
| Medicare Enrollment ID | O20230526000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104529320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Juan Carlos I Hernandez Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598053423 PECOS PAC ID: 0648581207 Enrollment ID: I20150623002158 |
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