MEDICARE: FAMILY HEALTH CENTER PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	208600000X	Surgery Physician
4	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1689698268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CENTER PA

Provider Business Mailing Address
First Line	:	2768 PHARMACY RD
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6201
Country	:	US
Telephone Number	:	956-487-5621
Fax Number	:	956-487-5862

Provider Business Practice Location Address
First Line	:	2764 PHARMACY RD
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6201
Country	:	US
Telephone Number	:	956-370-2012
Fax Number	:	956-370-2023

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AIDA SOZA
Credential	:	ADMINISTRATOR
Telephone Number	:	956-370-7429

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	05/23/2024

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Directions to “FAMILY HEALTH CENTER PA ” Practice Location

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