ST MARIE CLINIC PA NPI 1528071123

NPI Information

NPI: 1528071123
Provider Name: ST MARIE CLINIC PA
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
10900 N 103RD ST
MISSION, TX
ZIP 78573
Phone: (956) 583-7744
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ST MARIE CLINIC PA is a rehabilitation clinic center in Mission, TX. ST MARIE CLINIC PA NPI is 1528071123. The provider is registered as an organization entity type.

The provider's business location address is:

10900 N 103RD ST
MISSION, TX
ZIP 78573-979
Phone: (956) 583-7744
Fax: (956) 583-7747

The provider's authorized official is Eduardo Carrllo .
The authorized official title is Owner/ceo and has the following contact phone number (956) 583-7744.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 1/16/2009.

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	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	676630	OTHER	TEXAS	MEDICARE PROVIDER #

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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