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1453 E Alton Gloor Blvd Ste 3 Brownsville TX 78526-4519 | |
(713) 647-2447 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1453 E Alton Gloor Blvd Ste 3, Brownsville, Texas |
Authorized Official Name and Position | Dario Cubides (CEO) |
Authorized Official Contact | 7136472447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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809 Tesoro Ave Brownsville TX 78526-4519 Ph: () - | 1453 E Alton Gloor Blvd Ste 3 Brownsville TX 78526-4519 Ph: (713) 647-2447 |
NPI Number | 1780230904 |
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Provider Enumeration Date | 08/13/2019 |
Last Update Date | 04/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780230904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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