| Uplifting Family Practice, Pllc | |
|
2395 La Palma St San Benito TX 78586-3320 | |
| (956) 626-7365 | |
| Not Available |
| Full Name | Uplifting Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2395 La Palma St, San Benito, Texas |
| Authorized Official Name and Position | Julie D. Garcia (NURSE PRACTITIONER) |
| Authorized Official Contact | 9566267365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplifting Family Practice, Pllc 2395 La Palma St Ste G San Benito TX 78586-3335 Ph: (956) 626-7365 | Uplifting Family Practice, Pllc 2395 La Palma St San Benito TX 78586-3320 Ph: (956) 626-7365 |
| NPI Number | 1215542857 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 06/06/2022 |
| Medicare PECOS PAC ID | 3072990571 |
|---|---|
| Medicare Enrollment ID | O20220523002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215542857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julie Diane Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891355368 PECOS PAC ID: 8729411863 Enrollment ID: I20191204001525 |
| Provider Name | Ector Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841824406 PECOS PAC ID: 8022428945 Enrollment ID: I20201104002665 |
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