Individual
MR. FIDENCIO MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
918 W NOLANA LOOP, PHARR, TX 78577
(956) 929-9732
(956) 502-5528
Mailing address
918 W NOLANA LOOP, PHARR, TX 78577
(956) 929-9732
(956) 502-5528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC 10194
TX
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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