Organization
IRIS WELL CHILD PHYSICALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS GARCIA R.N., PNP (OWNER)
(956) 262-9805
Entity
Organization
Contact information
Practice address
200 W. EDINBURG HWY 107, SUITE B, ELSA, TX 78543-1274
(956) 262-9805
(956) 262-9233
Mailing address
PO BOX 1274, ELSA, TX 78543-1274
(956) 262-9805
(956) 262-9233
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
533197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121084101
—
TX
01
—
121084102
MEDICAID-EPSDT
TX
01
—
121392
SUPERIOR HEALTHPLAN NETWORK
TX
01
—
8N8564
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
02/20/2009
Last updated
02/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us