| South Laredo Health Care Clinic | |
|
2110 Lomas Del Sur Ste 103 Laredo TX 78046-5751 | |
| (956) 489-0098 | |
| Not Available |
| Full Name | South Laredo Health Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2110 Lomas Del Sur Ste 103, Laredo, Texas |
| Authorized Official Name and Position | Hector Emilio Garcia (MANAGER) |
| Authorized Official Contact | 9562866834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Laredo Health Care Clinic 2110 Lomas Del Sur Ste 103 Laredo TX 78046-5751 Ph: (956) 489-0098 | South Laredo Health Care Clinic 2110 Lomas Del Sur Ste 103 Laredo TX 78046-5751 Ph: (956) 489-0098 |
| NPI Number | 1700216132 |
|---|---|
| Provider Enumeration Date | 11/21/2013 |
| Last Update Date | 11/21/2013 |
| Medicare PECOS PAC ID | 4688897705 |
|---|---|
| Medicare Enrollment ID | O20140519000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700216132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 653204 (Texas) | Primary |
| Provider Name | Francisco J Gutierrez Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316020456 PECOS PAC ID: 6204850639 Enrollment ID: I20080227000622 |
| Provider Name | Hector E Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659664423 PECOS PAC ID: 2769649656 Enrollment ID: I20120203000682 |
| Provider Name | Sandra H Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558687541 PECOS PAC ID: 1557525227 Enrollment ID: I20120608000108 |
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