| Bespoke MD, PLLC | |
|
1700 W Dove Ave Ste 80 Mcallen TX 78504-4464 | |
| (956) 608-6700 | |
| Not Available |
| Full Name | Bespoke MD, PLLC |
|---|---|
| Speciality | Preventive Medicine |
| Location | 1700 W Dove Ave Ste 80, Mcallen, Texas |
| Authorized Official Name and Position | Ramiro Tovar (OFFICER/PHYSICIAN) |
| Authorized Official Contact | 9565724735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke MD, PLLC 1700 W Dove Ave Ste 80 Mcallen TX 78504-4464 Ph: (956) 572-4735 | Bespoke MD, PLLC 1700 W Dove Ave Ste 80 Mcallen TX 78504-4464 Ph: (956) 608-6700 |
| NPI Number | 1538958012 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/01/2025 |
| Medicare PECOS PAC ID | 5799284659 |
|---|---|
| Medicare Enrollment ID | O20250818002296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538958012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | () | Primary |
| Provider Name | Efrain Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851852073 PECOS PAC ID: 4981081577 Enrollment ID: I20220520000984 |
| Provider Name | Ramiro Tovar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861020984 PECOS PAC ID: 7719349547 Enrollment ID: I20230810003851 |
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