| N/a | |
|
1018 Beech Ave Ste 100 Mcallen TX 78501-4547 | |
| (229) 669-5590 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1018 Beech Ave Ste 100, Mcallen, Texas |
| Authorized Official Name and Position | Cherese Ruthann Shaw (OWNER) |
| Authorized Official Contact | 2296695590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 901 N Francisco Ave Po Box 3812 Mission TX 78573-2301 Ph: (956) 974-1963 | N/a 1018 Beech Ave Ste 100 Mcallen TX 78501-4547 Ph: (229) 669-5590 |
| NPI Number | 1366941478 |
|---|---|
| Provider Enumeration Date | 02/04/2018 |
| Last Update Date | 04/28/2026 |
| Certification Date | 04/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366941478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Primary |
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