| Juana Maria Espejo, M.d., P.a. | |
|
2404 S Cage Blvd Pharr TX 78577-9998 | |
| (956) 702-6462 | |
| (956) 702-6911 |
| Full Name | Juana Maria Espejo, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2404 S Cage Blvd, Pharr, Texas |
| Authorized Official Name and Position | Juana M Espejo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9562126486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juana Maria Espejo, M.d., P.a. Po Box 1766 Pharr TX 78577-1633 Ph: (956) 702-6462 | Juana Maria Espejo, M.d., P.a. 2404 S Cage Blvd Pharr TX 78577-9998 Ph: (956) 702-6462 |
| NPI Number | 1083904890 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 11/14/2014 |
| Medicare PECOS PAC ID | 1254555709 |
|---|---|
| Medicare Enrollment ID | O20140624001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083904890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M0715 (Texas) | Primary |
| Provider Name | Juana Maria Espejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538265913 PECOS PAC ID: 1951387356 Enrollment ID: I20110211000656 |
| Provider Name | Nilda Olmeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548513229 PECOS PAC ID: 9638319122 Enrollment ID: I20130703000662 |
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