MEDICARE: FALFURRIAS MEDICAL GROUP LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	K4124	TX
2	207Q00000X	Family Medicine Physician	H8375	TX
3	207RN0300X	Nephrology Physician
4	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0077PC	OTHER	TX	BCBS
2	DG3603	OTHER	TX	PGBA
3	184524003	OTHER	TX	THSTEPS
4	45D1068106	OTHER	TX	CLIA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073626792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALFURRIAS MEDICAL GROUP LLP

Provider Business Mailing Address
First Line	:	4302 S SUGAR RD STE 106
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9140
Country	:	US
Telephone Number	:	956-383-4041
Fax Number	:	956-383-4183

Provider Business Practice Location Address
First Line	:	221 W POTTS ST
Second Line	:
City	:	FALFURRIAS
State	:	TX
Zip	:	78355-4822
Country	:	US
Telephone Number	:	361-325-1910
Fax Number	:	361-325-4582

Authorized Official
Title or Position	:	GEN PTR
Name	:	ANDREW LEVINE
Credential	:	MD
Telephone Number	:	956-383-4041

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	03/31/2021

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Directions to “FALFURRIAS MEDICAL GROUP LLP ” Practice Location

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