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106 N Main St La Feria TX 78559-5003 | |
| (956) 797-2002 | |
| (956) 797-3361 |
| Full Name | |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
106 N Main St La Feria TX 78559-5003 Ph: (956) 797-2002 | 106 N Main St La Feria TX 78559-5003 Ph: (956) 797-2002 |
| NPI Number | 1558572511 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/04/2008 |
| 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 |
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