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NPI Code Detail

MEDICARE: ROBERTO PRIETO HARRIS MD PA

MEDICARE: ROBERTO PRIETO HARRIS MD PA
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
1261Q00000XClinic/Center
2261Q00000XClinic/CenterM7539TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548632946
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERTO PRIETO HARRIS MD PA
Provider Business Mailing Address
First Line : 4217 N MCCOLL RD SUITE 700
Second Line :
City : MCALLEN
State : TX
Zip : 78504-4466
Country : US
Telephone Number : 956-627-0817
Fax Number : 956-627-0975
Provider Business Practice Location Address
First Line : 4217 N MCCOLL RD STE 700
Second Line :
City : MCALLEN
State : TX
Zip : 78504-4466
Country : US
Telephone Number : 956-627-0817
Fax Number : 956-627-0975
Authorized Official
Title or Position : DOCTOR
Name : ROBERTO PRIETO-HARRIS
Credential : MD
Telephone Number : 956-627-0817
Provider Enumeration Date : 10/24/2015
Last Update Date : 05/14/2020

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Directions to “ROBERTO PRIETO HARRIS MD PA ” Practice Location

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