Organization
FE FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH UNUIGBOJE EROMOSELE P. A., (PHYSICIAN ASSISTANT)
(956) 581-0401
Entity
Organization
Contact information
Practice address
8305 N. LA HOMA BLVD., SUITE # B, MISSION, TX 78574
(956) 581-0401
(956) 581-0654
Mailing address
PO BOX 3360, MISSION, TX 78573-0057
(956) 581-0401
(956) 581-0654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186061101
—
TX
05
—
186061102
—
TX
Enumeration date
07/26/2006
Last updated
08/09/2011
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