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NPI 1396690301

NPI 1396690301 : MCALLEN PRIMARY CARE CLINIC PLLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1396690301
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCALLEN PRIMARY CARE CLINIC PLLC 
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Dates
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    Enumeration Date     |    03/04/2026
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    110 E SAVANNAH AVE BLDG A203 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78503-1239
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    Country              |    US
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    Telephone            |    956-686-4040
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    Fax                  |    956-686-2936
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Provider Business Mailing Address
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    Address Line         |    110 E SAVANNAH AVE BLDG A203 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78503-1239
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    Country              |    US
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    Telephone            |    956-686-4040
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    Fax                  |    956-686-2936
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SERGIO  DIAZ 
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    Credential           |    PA
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    Telephone            |    956-686-4040
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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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