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General NPI Number Information
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NPI Number | 1205689452
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Entity Type | Organization
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Legal Business Name | CLINICA TRINIDAD, PLLC
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 6708 W MILE 7 RD
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City | MISSION
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State | TX
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Zip | 78574-0062
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Country | US
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Telephone | 956-490-9190
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Fax | 956-702-3606
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Provider Business Mailing Address
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Address Line | 6708 W MILE 7 RD
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City | MISSION
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State | TX
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Zip | 78574-0062
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Country | US
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Telephone | 956-600-7144
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Fax | 877-569-2557
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RICARDO JAVIER GARZA
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Credential | FNP-BC
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Telephone | 956-600-7144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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