The Neighborhood Doctor | |
106 N Main St La Feria TX 78559-5003 | |
(956) 797-2002 | |
(956) 797-3361 |
Full Name | The Neighborhood Doctor |
---|---|
Speciality | General Practice |
Location | 106 N Main St, La Feria, Texas |
Authorized Official Name and Position | Mario A Sanchez (OWNER) |
Authorized Official Contact | 9567972002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Neighborhood Doctor 106 N Main St La Feria TX 78559-5003 Ph: (956) 797-2002 | The Neighborhood Doctor 106 N Main St La Feria TX 78559-5003 Ph: (956) 797-2002 |
NPI Number | 1558572511 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 09/04/2008 |
Medicare PECOS PAC ID | 0648231977 |
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Medicare Enrollment ID | O20041020001023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558572511 | NPI | - | NPPES |
170554302 | Medicaid | TX | |
0036MN | Other | TX | BCBS OF TX |
170554301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | H6573 (Texas) | Primary |
Provider Name | Armando Rodriguez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306317284 PECOS PAC ID: 2668719543 Enrollment ID: I20190130002776 |
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