| Elsa Medical Clinic | |
|
101 South Broadway Elsa TX 78543 | |
| (956) 262-1304 | |
| (956) 262-3929 |
| Full Name | Elsa Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 101 South Broadway, Elsa, Texas |
| Authorized Official Name and Position | Julio A Lopez (MEDICAL DOCTOR) |
| Authorized Official Contact | 9562621304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elsa Medical Clinic Po Box 356 Elsa TX 78543-0356 Ph: (956) 262-1304 | Elsa Medical Clinic 101 South Broadway Elsa TX 78543 Ph: (956) 262-1304 |
| NPI Number | 1447300066 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447300066 | NPI | - | NPPES |
| 127143903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | E6964 (Texas) | Primary |
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