| Medwin Family Medicine & Rehabilitation Pc | |
|
315 Jose Marti Blvd Brownsville TX 78526-2868 | |
| (956) 546-7530 | |
| (956) 546-7531 |
| Full Name | Medwin Family Medicine & Rehabilitation Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 315 Jose Marti Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Manjula Raguthu (PRESIDENT) |
| Authorized Official Contact | 9565467530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medwin Family Medicine & Rehabilitation Pc Po Box 5386 Brownsville TX 78523-5386 Ph: (956) 546-7530 | Medwin Family Medicine & Rehabilitation Pc 315 Jose Marti Blvd Brownsville TX 78526-2868 Ph: (956) 546-7530 |
| NPI Number | 1437370103 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 5799726105 |
|---|---|
| Medicare Enrollment ID | O20050516001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437370103 | NPI | - | NPPES |
| 176203101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Surya P Raguthu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720125412 PECOS PAC ID: 6608817010 Enrollment ID: I20050517000267 |
| Provider Name | Manjula Raguthu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932162617 PECOS PAC ID: 9830291632 Enrollment ID: I20070226000359 |
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