Organization
LA BLANCA FAMILY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISABEL GUZMAN ANP (OWNER)
(956) 262-9823
Entity
Organization
Contact information
Practice address
18360 FM 493, SUITE 1, EDINBURG, TX 78542-1869
(956) 262-9823
(956) 262-9622
Mailing address
PO BOX 686, LA BLANCA, TX 78558-0686
(956) 262-9823
(956) 262-9622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J6969
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
580338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164816401
—
TX
Enumeration date
07/20/2006
Last updated
10/29/2010
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