| South Texas Urgent Care Center Pllc | |
|
1801 N Ed Carey Dr Ste A Harlingen TX 78550-8281 | |
| (956) 205-1244 | |
| (956) 205-1245 |
| Full Name | South Texas Urgent Care Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 N Ed Carey Dr Ste A, Harlingen, Texas |
| Authorized Official Name and Position | Fernando Vasquez (PHYSICIAN ASSISTANT/ CO-OWNER) |
| Authorized Official Contact | 9562051244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Texas Urgent Care Center Pllc Po Box 2669 Frisco TX 75034-0050 Ph: (855) 329-8220 | South Texas Urgent Care Center Pllc 1801 N Ed Carey Dr Ste A Harlingen TX 78550-8281 Ph: (956) 205-1244 |
| NPI Number | 1164172300 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 3577941624 |
|---|---|
| Medicare Enrollment ID | O20220602001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164172300 | NPI | - | NPPES |
| 1164172300 | Medicaid | TX |
| Provider Name | Javier David Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568664738 PECOS PAC ID: 2062597255 Enrollment ID: I20080312000358 |
| Provider Name | Julio Olmeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326356692 PECOS PAC ID: 8426237322 Enrollment ID: I20110125000314 |
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