Performance Enhancing Nutrition | |
801 E. Nolana Ave Suite 4 Mcallen TX 78504-6113 | |
(956) 686-2626 | |
(956) 686-1616 |
Full Name | Performance Enhancing Nutrition |
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Speciality | Internal Medicine - Gastroenterology |
Location | 801 E. Nolana Ave, Mcallen, Texas |
Authorized Official Name and Position | Jose Rodriguez (PRESIDENT) |
Authorized Official Contact | 9565849000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Performance Enhancing Nutrition 801 E. Nolana Ave Suite 4 Mcallen TX 78504-6113 Ph: (956) 686-2626 | Performance Enhancing Nutrition 801 E. Nolana Ave Suite 4 Mcallen TX 78504-6113 Ph: (956) 686-2626 |
NPI Number | 1366633513 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 07/02/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366633513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | H2734 (Texas) | Primary |
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