Organization
KNAPP MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER EDWARD SURROCK (CHIEF FINANCIAL OFFICER)
(956) 323-9106
Entity
Organization
Contact information
Practice address
1401 E 8TH ST, WESLACO, TX 78596-6640
(956) 968-8567
(956) 969-1408
Mailing address
1401 E 8TH ST, WESLACO, TX 78596-6640
(956) 968-8567
(956) 969-1408
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
000480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104307100
VALLEY HEALTH PLANS
TX
05
—
135035705
—
TX
05
—
135035706
—
TX
01
—
HH0538
BC BS OF TEXAS
TX
Enumeration date
09/27/2005
Last updated
01/11/2024
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