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Organization
TEXAS FEDERAL WELLNESS CENTER OF MCALLEN PLLC
Active
Organization
TEXAS FEDERAL WELLNESS CENTER OF MCALLEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE ZIMMER (CREDENTIALING)
(956) 627-0741
Entity
Organization
Contact information
Practice address
4501 W EXPRESSWAY 83 STE 50, MCALLEN, TX 78503-0029
(956) 627-0741
(956) 627-0913
Mailing address
4501 W EXPRESSWAY 83 STE 50, MCALLEN, TX 78503-0029
(956) 627-0741
(956) 627-0913
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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