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Organization
LAREDO MINOR EMERGENCY CLINIC, PA
Active
Organization
LAREDO MINOR EMERGENCY CLINIC, PA
Active
Parent organization
LAREDO MINOR EMERGENCY CLINIC PA
Other names
Laredo Family Health Clinic LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAREDO MINOR EMERGENCY CLINIC PA
Authorized official
MELCHOR PABLO CARDENAS M.D (MEDICAL DOCTOR)
(956) 725-0300
Entity
Organization
Contact information
Practice address
904 CORPUS CHRISTI ST, LAREDO, TX 78040-5277
(956) 725-0300
(956) 722-6174
Mailing address
904 CORPUS CHRISTI ST, LAREDO, TX 78040-5277
(956) 725-0300
(956) 722-6174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353461201
—
TX
Enumeration date
05/12/2011
Last updated
07/30/2019
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