| Pecan Medical Center Llc | |
|
110 Pecan Blvd Mcallen TX 78501-9557 | |
| (956) 661-0040 | |
| (956) 661-0042 |
| Full Name | Pecan Medical Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 110 Pecan Blvd, Mcallen, Texas |
| Authorized Official Name and Position | Gloria M Ibanez (MEMBER) |
| Authorized Official Contact | 9566610040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecan Medical Center Llc 110 Pecan Blvd Mcallen TX 78501-9557 Ph: (956) 661-0040 | Pecan Medical Center Llc 110 Pecan Blvd Mcallen TX 78501-9557 Ph: (956) 661-0040 |
| NPI Number | 1649226762 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649226762 | NPI | - | NPPES |
| 181534201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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