| Vergel De Dios Family Clinic | |
|
5105 N Mccoll Rd Mcallen TX 78504-2331 | |
| (956) 686-6644 | |
| (956) 686-6643 |
| Full Name | Vergel De Dios Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5105 N Mccoll Rd, Mcallen, Texas |
| Authorized Official Name and Position | Roderick Villaroman Vergel De Dios (DIRECTOR) |
| Authorized Official Contact | 9566866644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vergel De Dios Family Clinic 5105 N Mccoll Rd Mcallen TX 78504-2331 Ph: (956) 686-6644 | Vergel De Dios Family Clinic 5105 N Mccoll Rd Mcallen TX 78504-2331 Ph: (956) 686-6644 |
| NPI Number | 1083879019 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083879019 | NPI | - | NPPES |
| 080152499 | Other | RAILROAD MEDICARE | |
| 5805616 | Other | AETNA | |
| 0021DF | Other | TX | BLUE CROSS BLUE SHIELD |
| 116761 | Other | SUPERIOR HEALTH PLAN | |
| 126632205 | Other | TX | MEDICAID EPSDT |
| A001 | Other | CHAMPUS | |
| A002 | Other | TRICARE | |
| 126632202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K1713 (Texas) | Primary |
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