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Organization

FAMILY MEDICAL AND SPECIALTY CLINIC LLP

Active
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Organization

FAMILY MEDICAL AND SPECIALTY CLINIC LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE ANDRES VAZQUEZ M.D. (MEDICAL DIRECTOR)
(956) 487-7561
Entity
Organization

Contact information

Practice address
2790 PHARMACY RD, RIO GRANDE CITY, TX 78582-6546
(956) 487-7561
(956) 487-0097
Mailing address
2790 PHARMACY RD, RIO GRANDE CITY, TX 78582
(956) 487-7561
(956) 487-0097

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP132499
TX

Other

Enumeration date
11/22/2016
Last updated
11/22/2016
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