| Texas Family Wellness Clinic, Inc. | |
|
15406 Northwest Blvd Ste B Robstown TX 78380-5865 | |
| (361) 205-9677 | |
| (361) 933-5011 |
| Full Name | Texas Family Wellness Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 15406 Northwest Blvd Ste B, Robstown, Texas |
| Authorized Official Name and Position | Ron Jeffrey Guevara (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 3619331188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Family Wellness Clinic, Inc. 15406 Northwest Blvd Ste B Robstown TX 78380-5865 Ph: (361) 933-1188 | Texas Family Wellness Clinic, Inc. 15406 Northwest Blvd Ste B Robstown TX 78380-5865 Ph: (361) 205-9677 |
| NPI Number | 1629687728 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 10/19/2020 |
| Medicare PECOS PAC ID | 7214356369 |
|---|---|
| Medicare Enrollment ID | O20200923002040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629687728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ron J Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811967300 PECOS PAC ID: 7719956028 Enrollment ID: I20041004000055 |
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