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Organization
PALM VILLAGE FAMILY CLINIC, LLC
Active
Organization
PALM VILLAGE FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO MENDEZ FNP-BC (OWNER/ADMINISTRATOR)
(956) 585-1000
Entity
Organization
Contact information
Practice address
38719 MILE 7 RD, PENITAS, TX 78576-7507
(956) 585-1000
(956) 585-1021
Mailing address
38719 MILE 7 RD, PENITAS, TX 78576-7507
(956) 585-1000
(956) 585-1021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
534126
TX
Other
Enumeration date
09/23/2013
Last updated
01/14/2014
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