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Organization
ST MARIE CLINIC PA
Active
Organization
ST MARIE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO CARRILLO MD (OWNER)
(956) 585-7401
Entity
Organization
Contact information
Practice address
305 E EXPRESSWAY 83, MISSION, TX 78572-5560
(956) 585-7401
(956) 580-1788
Mailing address
305 E EXPRESSWAY 83, MISSION, TX 78572-5560
(956) 585-7401
(956) 580-1788
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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