Organization
HACIENDA FAMILY CLINIC L.T.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL ANTONIO PUIG PAC (PHYCIAN ASSITANT)
(956) 424-9863
Entity
Organization
Contact information
Practice address
RR 26 BOX 6766-49, MISSION, TX 78574-2582
(956) 424-9863
(956) 424-9868
Mailing address
RR 26 BOX 6766-49, MISSION, TX 78574-2582
(956) 424-9863
(956) 424-9868
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
07/21/2022
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