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Organization
TEXAS FEDERAL WELLNESS CENTER OF EDINBURG
Active
Organization
TEXAS FEDERAL WELLNESS CENTER OF EDINBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE ZIMMER (CREDENTIALING SPECIALIST)
(956) 627-1258
Entity
Organization
Contact information
Practice address
2719 W TRENTON RD, EDINBURG, TX 78539-3433
(956) 627-1258
(956) 627-1239
Mailing address
2719 W TRENTON RD, EDINBURG, TX 78539-3433
(956) 627-1258
(956) 627-1239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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