Premium Family Medicine Pllc | |
645 Villa Maria Blvd Ste A Brownsville TX 78520-6370 | |
(956) 550-0999 | |
(956) 550-0993 |
Full Name | Premium Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 645 Villa Maria Blvd Ste A, Brownsville, Texas |
Authorized Official Name and Position | Abraham Martinez Barrientes (PRACTITIONER) |
Authorized Official Contact | 9565500999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premium Family Medicine Pllc 645 Villa Maria Blvd Ste A Brownsville TX 78520-6370 Ph: (956) 550-0999 | Premium Family Medicine Pllc 645 Villa Maria Blvd Ste A Brownsville TX 78520-6370 Ph: (956) 550-0999 |
NPI Number | 1134983158 |
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Provider Enumeration Date | 02/09/2024 |
Last Update Date | 02/09/2024 |
Medicare PECOS PAC ID | 1355884867 |
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Medicare Enrollment ID | O20240625000322 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134983158 | NPI | - | NPPES |
Provider Name | Abraham Martinez Barrientes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790560068 PECOS PAC ID: 2264975770 Enrollment ID: I20240625000427 |
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