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201 E 2nd St Rio Grande City TX 78582-3803 | |
(956) 488-1200 | |
(956) 488-9500 |
Full Name | |
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Speciality | Clinic/Center |
Location | 201 E 2nd St, Rio Grande City, Texas |
Authorized Official Name and Position | Ana Falcon (CREDENTIALING CLERK) |
Authorized Official Contact | 9564881200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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201 E 2nd St Rio Grande City TX 78582-3803 Ph: (956) 488-1200 | 201 E 2nd St Rio Grande City TX 78582-3803 Ph: (956) 488-1200 |
NPI Number | 1265518914 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 09/10/2020 |
Medicare PECOS PAC ID | 6204880008 |
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Medicare Enrollment ID | O20060405000257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265518914 | NPI | - | NPPES |
163872801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | L4155 (Texas) | Primary |
Fhc Rgc, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2768 Pharmacy Rd, Rio Grande City, TX 78582 Phone: 956-487-5621 Fax: 956-487-5862 | |
Nuestra Clinica Del Valle Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 N Garza St Ste A, Rio Grande City, TX 78582 Phone: 956-487-0846 Fax: 956-787-2021 | |