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Organization
MANUEL J MERCADO MD PA
Active
Organization
MANUEL J MERCADO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL J MERCADO MD (OWNER)
(956) 702-1013
Entity
Organization
Contact information
Practice address
502 S CAGE BLVD, PHARR, TX 78577-5449
(956) 702-1013
(956) 781-5196
Mailing address
502 S CAGE BLVD, PHARR, TX 78577-5449
(956) 702-1013
(956) 781-5196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033QF
BCBS
TX
01
—
0087GT
BLUE CROSS BLUE SHIELD
—
05
—
155460201
—
TX
01
—
DC8176
RAILROAD MEDICARE
TX
Enumeration date
02/02/2006
Last updated
01/27/2012
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