Organization Name: | LA FERIA MEDICAL CLINIC, P.A. |
NPI Number: | 1205139003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDUARDO RAMIREZ (PRACTICE MANAGER / ADMINISTRATOR) |
Mailing Address: | 129 W Commercial Ave La Feria |
State: | TX US |
Postal Code: | 785595108 |
Phone Number: | 9567979200 |
Fax Number: | 9567971018 |
NPI Enumeration Date: | 12/16/2010 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 535494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |