Pediatric Practice Association | |
5322 W Hwy 83 Ste C1 Rio Grande City TX 78582 | |
(956) 488-0330 | |
Not Available |
Full Name | Pediatric Practice Association |
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Speciality | Family Medicine |
Location | 5322 W Hwy 83, Rio Grande City, Texas |
Authorized Official Name and Position | Stanislaus N Uzoigwe (MEDICAL DOCTOR) |
Authorized Official Contact | 9564881200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Practice Association 201 E 2nd St Rio Grande City TX 78582-3803 Ph: (956) 488-1200 | Pediatric Practice Association 5322 W Hwy 83 Ste C1 Rio Grande City TX 78582 Ph: (956) 488-0330 |
NPI Number | 1851584338 |
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Provider Enumeration Date | 08/20/2007 |
Last Update Date | 09/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851584338 | NPI | - | NPPES |
1638702801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L4155 (Texas) | Primary |
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Pediatric Practice Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 E 2nd St, Rio Grande City, TX 78582 Phone: 956-488-1200 Fax: 956-488-9500 |