# MERCED FAMILY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659974657
- **Authorized official:** MR. JUAN R LLANES APRN,FNP-BC (OWNER)
- **Authorized official phone:** (956) 225-2625

## Contact information

- **Practice address:** 202 PALMVIEW DR STE 1, PALMVIEW, TX 78572-9394
- **Practice address phone:** (956) 225-2625
- **Practice address fax:** (956) 598-6069
- **Mailing address:** PO BOX 3371, MISSION, TX 78573-0057
- **Mailing address phone:** (956) 225-2625
- **Mailing address fax:** (956) 598-6069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2020
- **Last updated:** 12/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1306843347 | JRL NPI | TX |
| 05 | — | 1391708-22 | — | TX |
| 01 | — | 1639137193 | DOC NPI | TX |