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612 S Vinton St Ste 101 Pearsall TX 78061-2245 | |
(830) 505-7509 | |
(830) 505-7513 |
Full Name | |
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Speciality | Obstetrics & Gynecology |
Location | 612 S Vinton St Ste 101, Pearsall, Texas |
Authorized Official Name and Position | Valentine C Ugwu (OWNER) |
Authorized Official Contact | 8305050760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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612 S Vinton St Ste 101 Pearsall TX 78061-2245 Ph: (830) 505-7509 | 612 S Vinton St Ste 101 Pearsall TX 78061-2245 Ph: (830) 505-7509 |
NPI Number | 1194281659 |
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Provider Enumeration Date | 02/20/2019 |
Last Update Date | 05/08/2023 |
Medicare PECOS PAC ID | 4688909138 |
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Medicare Enrollment ID | O20190705000882 |
Identifier | Type | State | Issuer |
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1194281659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
Provider Name | Valentine Chukwuma Ugwu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629380415 PECOS PAC ID: 2769601988 Enrollment ID: I20140919000728 |
South Texas Rural Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Medical Dr, Pearsall, TX 78061 Phone: 830-879-3047 Fax: 830-879-2940 | |
Oscar Garza M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Medical Dr, Pearsall, TX 78061 Phone: 830-334-4142 Fax: 830-334-8470 |