| Pediatric Practice Association | |
|
1301 Jackson St Zapata TX 78076-3570 | |
| (956) 765-0770 | |
| (956) 765-0660 |
| Full Name | Pediatric Practice Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 Jackson St, Zapata, Texas |
| Authorized Official Name and Position | Ana N 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 |
|---|---|
| Pediatric Practice Association 1301 Jackson St Zapata TX 78076-3570 Ph: (956) 765-0770 | Pediatric Practice Association 1301 Jackson St Zapata TX 78076-3570 Ph: (956) 765-0770 |
| NPI Number | 1013242874 |
|---|---|
| Provider Enumeration Date | 10/13/2009 |
| Last Update Date | 07/27/2023 |
| Medicare PECOS PAC ID | 6204880008 |
|---|---|
| Medicare Enrollment ID | O20100225000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013242874 | NPI | - | NPPES |
| 217512701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Zapata County Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hwy 83, Zapata, TX 78076 Phone: 956-765-8494 | |
Zapata Primary Care Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 S Us Highway 83, Zapata, TX 78076 Phone: 956-750-3429 Fax: 956-750-3414 | |
Zdoc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Us Highway 83, Zapata, TX 78076 Phone: 956-765-8494 |