San Martin De Porres Clinic
LBN: Jhonny Martin Bazan Md Pa
San Martin De Porres Clinic is an health care organization with primary practice located at 1337 E Palmavista Dr Suite A, Palmview TX 78572. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Agencies / Case Management. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Jhonny Martin Bazan Md Pa can be contacted via phone (956) 519-9500, or through Bazan, Jhonny Martin via phone (956) 519-9500.
Contact Information
Primary practice address
1337 E Palmavista Dr Suite A
Palmview TX 78572
Phone: (956) 519-9500
Fax: (956) 519-4549
Website:
Authorized official contact:
Name: Bazan, Jhonny Martin Doctor of Medicine (MD)
Phone: (956) 519-9500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K1355 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | K1355 | Texas |
| Agencies / Case Management | 251B00000X | 220041063 | Texas |
Profile Details
| NPI number | 1710048756 |
|---|---|
| LBN Legal business name | Jhonny Martin Bazan Md Pa |
| DBA Doing business as | San Martin De Porres Clinic |
| Authorized official | Bazan, Jhonny Martin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jun 27th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710048756 | NPPES |
| Texas | Other | 0066NL | BLUE CROSS BLUE SHIELD |
| Texas | Other | 1912169459 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 173560701 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 220041063 | BLUE CROSS BLUE SHIELD |
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