Healthcare Provider Details

I. General information

NPI: 1174702872
Provider Name (Legal Business Name): MONTE CRISTO FAMILY CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 N CLOSNER BLVD STE B
EDINBURG TX
78541-7162
US

IV. Provider business mailing address

3002 N CLOSNER BLVD STE B
EDINBURG TX
78541-7162
US

V. Phone/Fax

Practice location:
  • Phone: 956-383-8300
  • Fax: 956-383-3006
Mailing address:
  • Phone: 956-383-8300
  • Fax: 956-383-3006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number647801
License Number StateTX

VIII. Authorized Official

Name: RIAD ALI ABOUJAMOUS
Title or Position: OWNER
Credential: N.P.
Phone: 956-383-8300