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Organization
PSJA FAMILY CLINIC, LLC
Active
Organization
PSJA FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORALIA A MARTINEZ FNP (OWNER)
(956) 781-8396
Entity
Organization
Contact information
Practice address
1536 S CAGE BLVD STE 5, PHARR, TX 78577-6349
(956) 781-8396
(956) 781-8398
Mailing address
1536 S CAGE BLVD STE 5, PHARR, TX 78577-6349
(956) 781-8396
(956) 781-8398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
L1856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350837601
—
TX
Enumeration date
06/11/2015
Last updated
04/21/2020
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