| Specialized Family Clinic Pllc | |
|
4232 N Mccoll Rd Mcallen TX 78504-2523 | |
| (956) 391-2654 | |
| (888) 393-2655 |
| Full Name | Specialized Family Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4232 N Mccoll Rd, Mcallen, Texas |
| Authorized Official Name and Position | Srikanth Nangavaram (ADMINISTRATOR) |
| Authorized Official Contact | 9562156010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Family Clinic Pllc 4232 N Mccoll Rd Mcallen TX 78504-2523 Ph: (956) 391-2654 | Specialized Family Clinic Pllc 4232 N Mccoll Rd Mcallen TX 78504-2523 Ph: (956) 391-2654 |
| NPI Number | 1750895439 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 7012276751 |
|---|---|
| Medicare Enrollment ID | O20180125001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750895439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eduardo Candanosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144512484 PECOS PAC ID: 3173767407 Enrollment ID: I20140826001876 |
| Provider Name | Cesar Garza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952663916 PECOS PAC ID: 8224272513 Enrollment ID: I20150810002364 |
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