| Summit Medical And Obesity Associates Pllc | |
|
6801 Mcpherson Rd Ste 332 Laredo TX 78041-6417 | |
| (412) 499-1191 | |
| Not Available |
| Full Name | Summit Medical And Obesity Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6801 Mcpherson Rd Ste 332, Laredo, Texas |
| Authorized Official Name and Position | Luis Carlos Corral Guerrero (MANAGER) |
| Authorized Official Contact | 4124991191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical And Obesity Associates Pllc 6801 Mcpherson Rd Ste 332 Laredo TX 78041-6417 Ph: (412) 499-1191 | Summit Medical And Obesity Associates Pllc 6801 Mcpherson Rd Ste 332 Laredo TX 78041-6417 Ph: (412) 499-1191 |
| NPI Number | 1922797869 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 7810355823 |
|---|---|
| Medicare Enrollment ID | O20230623001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922797869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luis Carlos Corral Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164835195 PECOS PAC ID: 7810267390 Enrollment ID: I20170717000256 |
| Provider Name | Nabil Barbara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497068233 PECOS PAC ID: 7810138674 Enrollment ID: I20210921003225 |
| Provider Name | Marisa Benavides |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568748846 PECOS PAC ID: 8921357070 Enrollment ID: I20220806000613 |
| Provider Name | Jesus Alejandro Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538971171 PECOS PAC ID: 8921522640 Enrollment ID: I20250403001789 |
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