Organization
ADVANCED VEIN CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO R PEREZ M.D. (ADMINISTRATOR)
(956) 648-8035
Entity
Organization
Contact information
Practice address
5015 S MCCOLL RD, EDINBURG, TX 78539-8080
(956) 627-3686
(956) 664-0531
Mailing address
PO BOX 5550, MCALLEN, TX 78502-5550
(956) 627-3686
(956) 664-0531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L7519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163901506
CSHCN MEDICAID
TX
05
—
220218601
—
TX
01
—
DR2134
RR MEDICARE
TX
Enumeration date
07/10/2010
Last updated
01/20/2025
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