Healthcare Provider Details

I. General information

NPI: 1881990810
Provider Name (Legal Business Name): PHARR FAMILY DAY AND NIGHT CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2011
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N CAGE BLVD
PHARR TX
78577-3117
US

IV. Provider business mailing address

807 N CAGE BLVD
PHARR TX
78577-3117
US

V. Phone/Fax

Practice location:
  • Phone: 956-283-1889
  • Fax: 956-283-7014
Mailing address:
  • Phone: 956-782-7993
  • Fax: 956-781-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JUAN A AGUILERA
Title or Position: OWNER
Credential: MD
Phone: 956-283-1889