Organization
LA FERIA MEDICAL CLINIC, P.A.
Active
Other names
La Feria Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER VAZQUEZ (MANAGER)
(956) 428-3701
Entity
Organization
Contact information
Practice address
129 W COMMERCIAL AVE, LA FERIA, TX 78559-5108
(956) 797-9200
(956) 797-1018
Mailing address
129 W COMMERCIAL AVE, LA FERIA, TX 78559-5108
(956) 797-9200
(956) 797-1018
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158340301
—
TX
01
—
158340302
EPSDT
TX
Enumeration date
05/16/2006
Last updated
09/24/2008
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