MI VIDA PRIMARY CARE LLC NPI 1518365741

NPI Information

NPI: 1518365741
Provider Name: MI VIDA PRIMARY CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3318 N 21ST ST
MCALLEN, TX
ZIP 78501
Phone: (956) 789-5515
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MI VIDA PRIMARY CARE LLC is a primary care clinic center in Mcallen, TX. MI VIDA PRIMARY CARE LLC NPI is 1518365741. The provider is registered as an organization entity type.

The provider's business location address is:

3318 N 21ST ST
MCALLEN, TX
ZIP 78501-062
Phone: (956) 789-5515
Fax: (361) 396-1283

The provider's authorized official is John Pena .
The authorized official title is Managing Member and has the following contact phone number (956) 624-9312.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	AP126924	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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