# TEXAS FEDERAL WELLNESS CENTER OF MCALLEN PLLC

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

## Provider details

- **NPI number:** 1265092043
- **Authorized official:** CANDICE ZIMMER (CREDENTIALING)
- **Authorized official phone:** (956) 627-0741

## Contact information

- **Practice address:** 4501 W EXPRESSWAY 83 STE 50, MCALLEN, TX 78503-0029
- **Practice address phone:** (956) 627-0741
- **Practice address fax:** (956) 627-0913
- **Mailing address:** 4501 W EXPRESSWAY 83 STE 50, MCALLEN, TX 78503-0029
- **Mailing address phone:** (956) 627-0741
- **Mailing address fax:** (956) 627-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 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
