Organization
CENTRO MEDICO DOCTOR PRIMARIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES BECERRA (MANAGER)
(972) 333-9665
Entity
Organization
Contact information
Practice address
407 W ELDORADO PKWY STE 100, LITTLE ELM, TX 75068-5076
(469) 579-5233
(469) 579-5234
Mailing address
9013 TUMBLEWEED DR, CROSSROADS, TX 76227-2293
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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