| Border Clinic Pllc | |
|
1405 Jacaman Rd Suite 104 Laredo TX 78041-6224 | |
| (956) 727-3047 | |
| (956) 717-3630 |
| Full Name | Border Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1405 Jacaman Rd, Laredo, Texas |
| Authorized Official Name and Position | Claudia Getzabeth Mercado (PHYSICIAN) |
| Authorized Official Contact | 9567273047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Border Clinic Pllc 1405 Jacaman Rd Suite 104 Laredo TX 78041-6224 Ph: (956) 727-3047 | Border Clinic Pllc 1405 Jacaman Rd Suite 104 Laredo TX 78041-6224 Ph: (956) 727-3047 |
| NPI Number | 1760766257 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 05/08/2017 |
| Medicare PECOS PAC ID | 3072780154 |
|---|---|
| Medicare Enrollment ID | O20120112000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760766257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P0443 (Texas) | Primary |
| Provider Name | Claudia Getzbeth Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114174497 PECOS PAC ID: 0648447730 Enrollment ID: I20120112000432 |
| Provider Name | Mario R Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376025874 PECOS PAC ID: 0446589733 Enrollment ID: I20190911003731 |
| Provider Name | Elsa I Santellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952021545 PECOS PAC ID: 9830574359 Enrollment ID: I20220920002893 |
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