Organization
TEXAS FEDERAL WELLNESS CENTER OF EDINBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE ZIMMER (CREDENTIALING SPECIALIST)
(956) 627-1258
Entity
Organization
Contact information
Practice address
2719 W TRENTON RD, EDINBURG, TX 78539-3433
(956) 627-1258
(956) 627-1239
Mailing address
2719 W TRENTON RD, EDINBURG, TX 78539-3433
(956) 627-1258
(956) 627-1239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207QA0505X
Adult Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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