| Vida Y Salud-health Systems Inc | |
|
308 S Cesar Chavez Ave Crystal City TX 78839-4200 | |
| (830) 374-2301 | |
| (830) 374-9368 |
| Full Name | Vida Y Salud-health Systems Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 S Cesar Chavez Ave, Crystal City, Texas |
| Authorized Official Name and Position | Nora Tellez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8303742301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Y Salud-health Systems Inc 308 S Cesar Chavez Ave Crystal City TX 78839-4200 Ph: (830) 374-2301 | Vida Y Salud-health Systems Inc 308 S Cesar Chavez Ave Crystal City TX 78839-4200 Ph: (830) 374-2301 |
| NPI Number | 1770511032 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 07/06/2015 |
| Medicare PECOS PAC ID | 8820127848 |
|---|---|
| Medicare Enrollment ID | O20100528000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770511032 | NPI | - | NPPES |
| 133329603 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Charmaine Mary Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710353842 PECOS PAC ID: 4880904952 Enrollment ID: I20151103000476 |
Crystal City Isd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Crockett St, Crystal City, TX 78839 Phone: 830-374-2341 | |
Eduardo Moreno, M.d., Rural Health Clinic, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Avenue C, Crystal City, TX 78839 Phone: 830-374-2952 Fax: 830-374-3784 | |
The Children's Clinic Of Dimmit & Zavala Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 Veterans Ave Ste C, Crystal City, TX 78839 Phone: 830-374-4436 Fax: 830-374-4437 | |
Luevano Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1313 Veterans Ave Ste A, Crystal City, TX 78839 Phone: 830-374-9823 Fax: 830-374-9858 |