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Organization
SOUTH LAREDO FAMILY CLINIC PA
Active
Organization
SOUTH LAREDO FAMILY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATEO REYES MD (MD)
(956) 722-5007
Entity
Organization
Contact information
Practice address
3527 JAIME ZAPATA MEMORIAL HWY, SUITE 101, LAREDO, TX 78043-4788
(956) 722-5007
(956) 725-5894
Mailing address
PO BOX 451490, LAREDO, TX 78045
(956) 722-5007
(956) 725-5894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193927401
—
TX
Enumeration date
08/04/2006
Last updated
10/08/2024
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