San Benito Primary Care | |
400 W Hwy 77 San Benito TX 78586-5148 | |
(956) 626-1444 | |
(956) 626-1419 |
Full Name | San Benito Primary Care |
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Speciality | Family Medicine |
Location | 400 W Hwy 77, San Benito, Texas |
Authorized Official Name and Position | Jose I Gonzalez (ADMINISTRATOR) |
Authorized Official Contact | 9566261444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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San Benito Primary Care 11012 Airline Dr Ste A Houston TX 77037-1112 Ph: (281) 820-8955 | San Benito Primary Care 400 W Hwy 77 San Benito TX 78586-5148 Ph: (956) 626-1444 |
NPI Number | 1659006864 |
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Provider Enumeration Date | 07/21/2022 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 8729464052 |
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Medicare Enrollment ID | O20221010002394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659006864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Pablo E Amador |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962427849 PECOS PAC ID: 4183618523 Enrollment ID: I20141205001873 |
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