Organization
ELLIE EBREO LLC
Active
Other names
WOMEN 4 WOMEN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL VILLAFRANCA (ADMINISTRATOR)
(956) 802-6690
Entity
Organization
Contact information
Practice address
2134 E GRIFFIN PKWY, MISSION, TX 78572-3225
(956) 207-2433
Mailing address
2134 E GRIFFIN PKWY, MISSION, TX 78572-3225
(956) 207-2433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
688312
TX
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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