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General NPI Number Information
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NPI Number | 1295249910
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Entity Type | Organization
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Legal Business Name | JCBPAC, PLLC
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 216 E INTERSTATE 2 STE F
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City | PHARR
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State | TX
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Zip | 78577-6505
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Country | US
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Telephone | 956-609-6699
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Fax | 956-609-6700
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Provider Business Mailing Address
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Address Line | 216 E INTERSTATE 2 STE F
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City | PHARR
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State | TX
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Zip | 78577-6505
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Country | US
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Telephone | 956-609-6699
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Fax | 956-609-6700
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MONICA GONZALEZ
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Credential | PA
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Telephone | 956-609-6699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | TX
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