Organization
CLINICA SAN MARTIN DE PORRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDIAS D ETIENNE MD (PRESIDENT)
(917) 204-6110
Entity
Organization
Contact information
Practice address
6101 N 23RD ST, SUITE F, MCALLEN, TX 78504-3929
(956) 627-2752
(956) 627-2754
Mailing address
6101 N 23RD ST, SUITE F, MCALLEN, TX 78504-3929
(956) 627-2752
(956) 627-2754
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
N1626
TX
Other
Enumeration date
02/17/2009
Last updated
03/30/2012
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