# TEXAS FEDERAL WELLNESS CENTER OF HARLINGEN

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

## Provider details

- **NPI number:** 1245787910
- **Authorized official:** CANDICE ZIMMER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (956) 365-3430

## Contact information

- **Practice address:** 8002 W EXPRESSWAY 83, SUITE A, HARLINGEN, TX 78552-6435
- **Practice address phone:** (956) 365-3430
- **Practice address fax:** (956) 365-3605
- **Mailing address:** 8002 W EXPRESSWAY 83, SUITE A, HARLINGEN, TX 78552-6435
- **Mailing address phone:** (956) 365-3430
- **Mailing address fax:** (956) 365-3605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | P0857 | TX | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/09/2016
- **Last updated:** 09/09/2016