Palm Valley Medical Clinic Pa | |
5140 N 10th St Mcallen TX 78504-2834 | |
(956) 972-1600 | |
(956) 972-0880 |
Full Name | Palm Valley Medical Clinic Pa |
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Speciality | Family Medicine |
Location | 5140 N 10th St, Mcallen, Texas |
Authorized Official Name and Position | Noel Lopez (PHYSICIAN OWNER) |
Authorized Official Contact | 9569721600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palm Valley Medical Clinic Pa 5140 N 10th St Mcallen TX 78504-2834 Ph: (956) 972-1600 | Palm Valley Medical Clinic Pa 5140 N 10th St Mcallen TX 78504-2834 Ph: (956) 972-1600 |
NPI Number | 1558570416 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 11/30/2009 |
Medicare PECOS PAC ID | 9638218985 |
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Medicare Enrollment ID | O20091130000618 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558570416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H6387 (Texas) | Primary |
Provider Name | Noel Lopez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831119908 PECOS PAC ID: 6901791193 Enrollment ID: I20040217000667 |
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Family Physicians Clinic Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 S Broadway St, Mcallen, TX 78501 Phone: 956-682-4515 Fax: 956-682-4143 | |
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