JCBPAC PLLC NPI 1295249910

NPI Information

NPI: 1295249910
Provider Name: JCBPAC, PLLC

Doing Business As: LIVEWELL MEDICAL CENTER

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
1100 W SAM HOUSTON BLVD
PHARR, TX
ZIP 78577
Phone: (956) 609-6699
Get Directions

JCBPAC, PLLC is a medical physician assistant in Pharr, TX. JCBPAC, PLLC NPI is 1295249910. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Livewell Medical Center.

The provider's business location address is:

1100 W SAM HOUSTON BLVD
PHARR, TX
ZIP 78577-104
Phone: (956) 609-6699
Fax: (956) 609-6700

The provider's authorized official is Monica Gonzalez .
The authorized official title is President and has the following contact phone number (956) 609-6699.

The CLIA number assigned to this NPI record is 45D2144239 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 9/10/2020.

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	363AM0700X	Physician Assistant	Medical		TEXAS	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	PA05847	OTHER	TEXAS	TEXAS MEDICAL BOARD

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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