| Pediatric Practice Association | |
|
5322 W Hwy 83 Ste C1 Rio Grande City TX 78582 | |
| (956) 488-0330 | |
| Not Available |
| Full Name | Pediatric Practice Association |
|---|---|
| Speciality | Family Medicine |
| Location | 5322 W Hwy 83, Rio Grande City, Texas |
| Authorized Official Name and Position | Stanislaus N Uzoigwe (MEDICAL DOCTOR) |
| Authorized Official Contact | 9564881200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Practice Association 201 E 2nd St Rio Grande City TX 78582-3803 Ph: (956) 488-1200 | Pediatric Practice Association 5322 W Hwy 83 Ste C1 Rio Grande City TX 78582 Ph: (956) 488-0330 |
| NPI Number | 1851584338 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851584338 | NPI | - | NPPES |
| 1638702801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4155 (Texas) | Primary |
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Pediatric Practice Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 E 2nd St, Rio Grande City, TX 78582 Phone: 956-488-1200 Fax: 956-488-9500 | |
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