Organization
EDINBURG MULTI-SPECIALTY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J MCCOY RN (ADMINISTRATOR)
(956) 393-9998
Entity
Organization
Contact information
Practice address
3226 W ALBERTA RD, EDINBURG, TX 78539-9635
(956) 393-9998
Mailing address
2000 S MCCOLL RD, SUITE B PMB226, MCALLEN, TX 78503-1501
(956) 393-9998
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
J6969
TX
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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