| Southwest Labs | |
|
1201 S Jackson Rd Ste 2 Pharr TX 78577-6859 | |
| (956) 971-8822 | |
| (956) 688-8230 |
| Full Name | Southwest Labs |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1201 S Jackson Rd, Pharr, Texas |
| Authorized Official Name and Position | Dan Velazquez (PRESIDENT) |
| Authorized Official Contact | 9569718822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Labs 1201 S Jackson Rd Ste 2 Pharr TX 78577-6860 Ph: (956) 971-8822 | Southwest Labs 1201 S Jackson Rd Ste 2 Pharr TX 78577-6859 Ph: (956) 971-8822 |
| NPI Number | 1851420822 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851420822 | NPI | - | NPPES |
| 159017604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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