# LAREDO OCCUPATIONAL CENTER

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

## Provider details

- **NPI number:** 1972035814
- **Authorized official:** MR. ENRIQUE MEDRANO III (PRESIDENT)
- **Authorized official phone:** (956) 568-3638

## Contact information

- **Practice address:** 9114 MCPHERSON RD STE 3508, LAREDO, TX 78045
- **Practice address phone:** (956) 568-3638
- **Practice address fax:** (956) 568-3665
- **Mailing address:** 9114 MCPHERSON RD STE 3508, LAREDO, TX 78045
- **Mailing address phone:** (956) 568-3638
- **Mailing address fax:** (956) 568-3665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | M5740 | TX | Yes |

## Other

- **Enumeration date:** 03/30/2017
- **Last updated:** 08/14/2023