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Organization
THE CLINIC AT THE PORT
Active
Organization
THE CLINIC AT THE PORT
Active
Other names
ALL VALLEY DRUG SCREENS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAHOMA MAE PEDERSON (OWNER)
(956) 551-6742
Entity
Organization
Contact information
Practice address
3150 N. INDIANA AVE, BROWNSVILLE, TX 78526
(956) 831-3400
Mailing address
P.O. BOX 1822, LOS FRESNOS, TX 78566
(956) 831-3400
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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