My Family Clinic | |
2404 S Cage Blvd Pharr TX 78577-9998 | |
(956) 702-6462 | |
(956) 702-6911 |
Full Name | My Family Clinic |
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Speciality | Family Medicine |
Location | 2404 S Cage Blvd, Pharr, Texas |
Authorized Official Name and Position | Juana M Espejo (MEDICAL DIRECTOR) |
Authorized Official Contact | 9562126486 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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My Family Clinic Po Box 1766 Pharr TX 78577-1633 Ph: (956) 702-6462 | My Family Clinic 2404 S Cage Blvd Pharr TX 78577-9998 Ph: (956) 702-6462 |
NPI Number | 1083904890 |
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Provider Enumeration Date | 04/13/2011 |
Last Update Date | 11/14/2014 |
Medicare PECOS PAC ID | 1254555709 |
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Medicare Enrollment ID | O20140624001293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083904890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M0715 (Texas) | Primary |
Provider Name | Juana Maria Espejo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538265913 PECOS PAC ID: 1951387356 Enrollment ID: I20110211000656 |
Provider Name | Nilda Olmeda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548513229 PECOS PAC ID: 9638319122 Enrollment ID: I20130703000662 |
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