St Marie Clinic Pa

LBN: St Marie Clinic Pa
St Marie Clinic Pa is an health care organization with primary practice located at 10900 N 103Rd St , Mission TX 78573-0979. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. St Marie Clinic Pa can be contacted via phone (956) 583-7744, or through Carrllo, Eduardo via phone (956) 583-7744.

Contact Information

Primary practice address
10900 N 103Rd St Mission TX 78573-0979
Phone: (956) 583-7744
Fax: (956) 583-7747
Website:
Map and Directions
Authorized official contact:
Name: Carrllo, Eduardo Doctor of Medicine (MD)
Phone: (956) 583-7744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1528071123
LBN Legal business name St Marie Clinic Pa
DBA Doing business as
Authorized official Carrllo, Eduardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Jan 16th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528071123 NPPES
Texas Other 676630 MEDICARE PROVIDER #

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