# LA BLANCA FAMILY CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134149040
- **Authorized official:** MRS. ISABEL GUZMAN ANP (OWNER)
- **Authorized official phone:** (956) 262-9823

## Contact information

- **Practice address:** 18360 FM 493, SUITE 1, EDINBURG, TX 78542-1869
- **Practice address phone:** (956) 262-9823
- **Practice address fax:** (956) 262-9622
- **Mailing address:** PO BOX 686, LA BLANCA, TX 78558-0686
- **Mailing address phone:** (956) 262-9823
- **Mailing address fax:** (956) 262-9622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | J6969 | TX | — |
| 363LP2300X | Primary Care Nurse Practitioner | 580338 | TX | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 10/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 164816401 | — | TX |