| Fhc Rgc, Pa | |
|
2768 Pharmacy Rd Rio Grande City TX 78582-6201 | |
| (956) 487-5621 | |
| (956) 487-5862 |
| Full Name | Fhc Rgc, Pa |
|---|---|
| Speciality | General Practice |
| Location | 2768 Pharmacy Rd, Rio Grande City, Texas |
| Authorized Official Name and Position | James A Falcon (OWNER) |
| Authorized Official Contact | 9567358073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhc Rgc, Pa 2768 Pharmacy Rd Rio Grande City TX 78582-6201 Ph: (956) 487-5621 | Fhc Rgc, Pa 2768 Pharmacy Rd Rio Grande City TX 78582-6201 Ph: (956) 487-5621 |
| NPI Number | 1083431886 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 4486189990 |
|---|---|
| Medicare Enrollment ID | O20241120003896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083431886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Antonio Falcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538118740 PECOS PAC ID: 0446155873 Enrollment ID: I20041022000471 |
| Provider Name | Sarah E Diaz De Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275854093 PECOS PAC ID: 0941443667 Enrollment ID: I20130828000699 |
| Provider Name | James A Falcon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144480815 PECOS PAC ID: 3577868041 Enrollment ID: I20210617001203 |
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