Port Isabel Health Clinic | |
202 2nd St Port Isabel TX 78578-4100 | |
(956) 943-1774 | |
Not Available |
Full Name | Port Isabel Health Clinic |
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Speciality | Clinic/Center |
Location | 202 2nd St, Port Isabel, Texas |
Authorized Official Name and Position | William H Torkildsen (PRESIDENT) |
Authorized Official Contact | 9569431774 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Port Isabel Health Clinic 202 2nd St Port Isabel TX 78578-4100 Ph: (956) 943-1774 | Port Isabel Health Clinic 202 2nd St Port Isabel TX 78578-4100 Ph: (956) 943-1774 |
NPI Number | 1962536573 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 06/12/2024 |
Medicare PECOS PAC ID | 5799746780 |
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Medicare Enrollment ID | O20041022000735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962536573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | E2903 (Texas) | Primary |
Provider Name | William H Torkildsen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740287051 PECOS PAC ID: 5193700250 Enrollment ID: I20040622001286 |
Provider Name | Robert Wesley Rickard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336162031 PECOS PAC ID: 0244246015 Enrollment ID: I20060302000672 |
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