Organization
FAMILY HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA SOZA ADMINISTRATOR (ADMINISTRATOR)
(956) 370-7429
Entity
Organization
Contact information
Practice address
2764 PHARMACY RD, RIO GRANDE CITY, TX 78582-6201
(956) 370-2012
(956) 370-2023
Mailing address
2768 PHARMACY RD, RIO GRANDE CITY, TX 78582-6201
(956) 487-5621
(956) 487-5862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092645303
—
TX
Enumeration date
07/27/2006
Last updated
05/23/2024
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