Saucedo Family Care, Pllc | |
2423 2nd St Ste A Eagle Pass TX 78852-4118 | |
(830) 335-2552 | |
(830) 335-2580 |
Full Name | Saucedo Family Care, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 2423 2nd St Ste A, Eagle Pass, Texas |
Authorized Official Name and Position | Juan Saucedo (OWNER) |
Authorized Official Contact | 8303352552 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Saucedo Family Care, Pllc 2423 2nd St Ste A Eagle Pass TX 78852-4118 Ph: (830) 335-2552 | Saucedo Family Care, Pllc 2423 2nd St Ste A Eagle Pass TX 78852-4118 Ph: (830) 335-2552 |
NPI Number | 1669912804 |
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Provider Enumeration Date | 03/07/2017 |
Last Update Date | 11/07/2022 |
Medicare PECOS PAC ID | 5991081432 |
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Medicare Enrollment ID | O20170417001134 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669912804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | J2303 (Texas) | Primary |
Provider Name | Juan Saucedo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104976539 PECOS PAC ID: 2769671684 Enrollment ID: I20110107000591 |
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