MEDICARE: DANIEL MEGO FAMILY CLINIC LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1689548661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL MEGO FAMILY CLINIC LLC

Provider Business Mailing Address
First Line	:	9927 STATE HIGHWAY 107
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78573-7860
Country	:	US
Telephone Number	:	956-974-3161
Fax Number	:

Provider Business Practice Location Address
First Line	:	9927 STATE HIGHWAY 107
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78573-7860
Country	:	US
Telephone Number	:	956-974-3161
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	DALIA COBOS
Credential	:
Telephone Number	:	956-212-3853

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	01/07/2026

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