# BORDER CLINIC, PA

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

## Provider details

- **NPI number:** 1871088245
- **Authorized official:** CLAUDIA G MERCADO MD (CEO)
- **Authorized official phone:** (956) 727-3047

## Contact information

- **Practice address:** 2721 HORSE PEN CREEK RD, GREENSBORO, NC 27410-8387
- **Practice address phone:** (956) 727-3047
- **Practice address fax:** (956) 717-3630
- **Mailing address:** 2721 HORSE PEN CREEK RD, GREENSBORO, NC 27410-8387
- **Mailing address phone:** (956) 727-3047
- **Mailing address fax:** (956) 717-3630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 222798 | NC | Yes |

## Other

- **Enumeration date:** 06/27/2018
- **Last updated:** 09/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 222798 | NC LICENSE | NC |