Wellness Family Clinic Pllc | |
3516 W Alberta Rd Edinburg TX 78539-8466 | |
(956) 803-0121 | |
Not Available |
Full Name | Wellness Family Clinic Pllc |
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Speciality | Family Medicine |
Location | 3516 W Alberta Rd, Edinburg, Texas |
Authorized Official Name and Position | Carlos I Moreno (DIRECTOR) |
Authorized Official Contact | 9568030121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Family Clinic Pllc 3516 W Alberta Rd Edinburg TX 78539-8466 Ph: (956) 803-0121 | Wellness Family Clinic Pllc 3516 W Alberta Rd Edinburg TX 78539-8466 Ph: (956) 803-0121 |
NPI Number | 1598410045 |
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Provider Enumeration Date | 02/14/2022 |
Last Update Date | 04/14/2022 |
Medicare PECOS PAC ID | 0840686242 |
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Medicare Enrollment ID | O20220412002352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598410045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Carlos I Moreno |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306828280 PECOS PAC ID: 0244202323 Enrollment ID: I20040810000092 |
Provider Name | Yanet D Leija |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003368382 PECOS PAC ID: 0941585442 Enrollment ID: I20170324000563 |
Provider Name | Adrian L Vasquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760980247 PECOS PAC ID: 2365875978 Enrollment ID: I20191220000765 |
Provider Name | Jeannie Marie Reyes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255975264 PECOS PAC ID: 7810322187 Enrollment ID: I20200114002007 |
Provider Name | Laurie A Rodriguez-rocha |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477194926 PECOS PAC ID: 1052749710 Enrollment ID: I20200312001090 |
Provider Name | Janette Liz Garza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124637475 PECOS PAC ID: 4688066608 Enrollment ID: I20220124001991 |
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