MEDICARE: P I MEDICAL DAY & NIGHT CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1528010782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P I MEDICAL DAY & NIGHT CLINIC

Provider Business Mailing Address
First Line	:	1200 HIGHWAY 100
Second Line	:	STE 5
City	:	PORT ISABEL
State	:	TX
Zip	:	78578-2462
Country	:	US
Telephone Number	:	956-943-6675
Fax Number	:	956-943-6864

Provider Business Practice Location Address
First Line	:	1200 HIGHWAY 100
Second Line	:	STE 5
City	:	PORT ISABEL
State	:	TX
Zip	:	78578-2450
Country	:	US
Telephone Number	:	956-943-6675
Fax Number	:	956-943-6864

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RICHARD GARZA
Credential	:
Telephone Number	:	956-943-6675

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	06/08/2010

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Directions to “P I MEDICAL DAY & NIGHT CLINIC ” Practice Location

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