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2065 Dr Hugh Emerson St Brownsville TX 78526-0066 | |
(956) 410-5899 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2065 Dr Hugh Emerson St, Brownsville, Texas |
Authorized Official Name and Position | Diego Naranjo (OWNER) |
Authorized Official Contact | 9564105899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2065 Dr Hugh Emerson St Brownsville TX 78526-0066 Ph: (956) 410-5899 | 2065 Dr Hugh Emerson St Brownsville TX 78526-0066 Ph: (956) 410-5899 |
NPI Number | 1336972751 |
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Provider Enumeration Date | 08/21/2024 |
Last Update Date | 08/22/2024 |
Medicare PECOS PAC ID | 2668913005 |
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Medicare Enrollment ID | O20240925001757 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336972751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Juan M Garcia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760445381 PECOS PAC ID: 1951396175 Enrollment ID: I20040603000708 |
Provider Name | Linda Delafuente |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396267498 PECOS PAC ID: 7810257664 Enrollment ID: I20180216000162 |
Provider Name | Deborah Potter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861914053 PECOS PAC ID: 5496087041 Enrollment ID: I20191031000095 |
Provider Name | Diego Naranjo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568929800 PECOS PAC ID: 7810325834 Enrollment ID: I20200325000210 |
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