Organization
BEHAVIORAL WELLNESS CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO BENJAMIN CHAMPION II (OFFICE MANAGER)
(956) 668-0655
Entity
Organization
Contact information
Practice address
236 LINDBERG AVE, MCALLEN, TX 78501-2920
(956) 668-0655
(956) 668-0943
Mailing address
236 LINDBERG AVE, MCALLEN, TX 78501-2920
(956) 668-0655
(956) 668-0943
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H4936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8E0646
BCBS CHAMPUS
TX
01
—
M0069970
DPS
TX
Enumeration date
11/13/2006
Last updated
03/07/2023
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