Vista Verde Medical Plaza | |
1801 N Bedell Ave Del Rio TX 78840-8001 | |
(830) 768-9200 | |
Not Available |
Full Name | Vista Verde Medical Plaza |
---|---|
Speciality | Pediatrics |
Location | 1801 N Bedell Ave, Del Rio, Texas |
Authorized Official Name and Position | Gary Bowen (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 3256581511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vista Verde Medical Plaza Po Box 90201 San Angelo TX 76902-8001 Ph: (325) 658-1511 | Vista Verde Medical Plaza 1801 N Bedell Ave Del Rio TX 78840-8001 Ph: (830) 768-9200 |
NPI Number | 1790986719 |
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Provider Enumeration Date | 05/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790986719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (Texas) | Primary |
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