| Organization Name: | LA FERIA MEDICAL CLINIC, P.A. |
| NPI Number: | 1457302085 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAVIER VAZQUEZ (MANAGER) |
| Mailing Address: | 129 W Commercial Ave La Feria |
| State: | TX US |
| Postal Code: | 785595108 |
| Phone Number: | 9567979200 |
| Fax Number: | 9567971018 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |