| Mercy Clinics Md Pa | |
|
58 E Price Rd Brownsville TX 78521-3508 | |
| (956) 545-0080 | |
| (956) 545-0071 |
| Full Name | Mercy Clinics Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 58 E Price Rd, Brownsville, Texas |
| Authorized Official Name and Position | Shahid Ali Bangash (PRESIDENT) |
| Authorized Official Contact | 9565482020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinics Md Pa 58 E Price Rd Brownsville TX 78521-3508 Ph: (956) 545-0080 | Mercy Clinics Md Pa 58 E Price Rd Brownsville TX 78521-3508 Ph: (956) 545-0080 |
| NPI Number | 1942638945 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Medicare PECOS PAC ID | 8123257219 |
|---|---|
| Medicare Enrollment ID | O20140213000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942638945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jose N Perez Enriquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386958858 PECOS PAC ID: 2062656036 Enrollment ID: I20130912000255 |
| Provider Name | Ismael Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528432267 PECOS PAC ID: 3678878550 Enrollment ID: I20160302000426 |
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