| Upper Valley Family Clinic, Pllc | |
|
1156 W Monte Cristo Rd Edinburg TX 78541-4541 | |
| (956) 460-5099 | |
| Not Available |
| Full Name | Upper Valley Family Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1156 W Monte Cristo Rd, Edinburg, Texas |
| Authorized Official Name and Position | Nilda Dianne Rodriguez (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 9566099339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Valley Family Clinic, Pllc 1156 W Monte Cristo Rd Ste B Edinburg TX 78541-4541 Ph: (956) 609-9339 | Upper Valley Family Clinic, Pllc 1156 W Monte Cristo Rd Edinburg TX 78541-4541 Ph: (956) 460-5099 |
| NPI Number | 1194345405 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 09/27/2020 |
| Medicare PECOS PAC ID | 9830516194 |
|---|---|
| Medicare Enrollment ID | O20200901001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194345405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Guadalupe Rosas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437631900 PECOS PAC ID: 7113262528 Enrollment ID: I20181212003339 |
| Provider Name | Sergio L Molina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255781498 PECOS PAC ID: 6204178585 Enrollment ID: I20190507002339 |
| Provider Name | Nilda D Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538725882 PECOS PAC ID: 2860825544 Enrollment ID: I20191211000585 |
| Provider Name | Jean Bayabos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518522291 PECOS PAC ID: 0749680445 Enrollment ID: I20210617001556 |
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