Organization
M & M SOUTH AT CLINICA SANTA MARIA, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIR S ALI M.D. (PARTNER)
(956) 548-6666
Entity
Organization
Contact information
Practice address
3855 SOUTHMOST RD, BROWNSVILLE, TX 78521-4863
(956) 465-1193
(956) 504-3801
Mailing address
1474 W PRICE RD, BOX 602, BROWNSVILLE, TX 78520-8687
(956) 548-6666
(956) 548-6667
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180213401
—
TX
Enumeration date
06/09/2006
Last updated
09/10/2008
Update your record
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