Organization
FAMILY MEDICAL AND SPECIALTY CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA HERNANDEZ (OFFICE MANAGER)
(956) 487-7561
Entity
Organization
Contact information
Practice address
2790 PHARMACY RD STE B, RIO GRANDE CITY, TX 78582-6547
(956) 487-7561
(956) 487-0097
Mailing address
2790 PHARMACY RD STE B, RIO GRANDE CITY, TX 78582-6547
(956) 487-7561
(956) 487-0097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107763801
—
TX
Enumeration date
07/27/2006
Last updated
09/13/2021
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