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General NPI Number Information
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NPI Number | 1528940921
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Entity Type | Organization
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Legal Business Name | MODERNCARE HOME & FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 4502 N CAGE BLVD OFC 3
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City | PHARR
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State | TX
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Zip | 78577-7762
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Country | US
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Telephone | 956-897-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 4907 S JACKSON RD STE 11
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City | EDINBURG
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State | TX
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Zip | 78539-7204
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Country | US
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Telephone | 956-404-9687
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Fax |
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Authorized Official
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Title or Position | OWNER/FAMILY NURSE PRACTITIONER
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Name | YESENIA CASTILLO
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Credential | FNP-C
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Telephone | 956-897-1289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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