| Mediconnect Pllc | |
|
3001 N Mccoll St Hidalgo TX 78557-3935 | |
| (956) 627-0510 | |
| (956) 322-5476 |
| Full Name | Mediconnect Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3001 N Mccoll St, Hidalgo, Texas |
| Authorized Official Name and Position | Anurag Srivastava (PRESIDENT) |
| Authorized Official Contact | 9565336049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediconnect Pllc 3001 N Mccoll St Hidalgo TX 78557-3935 Ph: (956) 627-0510 | Mediconnect Pllc 3001 N Mccoll St Hidalgo TX 78557-3935 Ph: (956) 627-0510 |
| NPI Number | 1306607601 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 1052756996 |
|---|---|
| Medicare Enrollment ID | O20240229004214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306607601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003819798 PECOS PAC ID: 0648464867 Enrollment ID: I20101102000563 |
| Provider Name | Anurag Srivastava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659768166 PECOS PAC ID: 3678887965 Enrollment ID: I20150730012546 |
Aparna Mohan Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3001 N Mccoll St, Hidalgo, TX 78557 Phone: 956-627-0510 Fax: 956-627-0510 |