| William Nisimblat Mdpa | |
|
305 E Third St Alice TX 78332-4705 | |
| (361) 664-5291 | |
| (361) 668-1630 |
| Full Name | William Nisimblat Mdpa |
|---|---|
| Speciality | Pediatrics |
| Location | 305 E Third St, Alice, Texas |
| Authorized Official Name and Position | William Nisimblat (OWNER) |
| Authorized Official Contact | 3616645291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Nisimblat Mdpa Po Box 289 Alice TX 78333-4705 Ph: (361) 664-9353 | William Nisimblat Mdpa 305 E Third St Alice TX 78332-4705 Ph: (361) 664-5291 |
| NPI Number | 1477646271 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/09/2011 |
| Medicare PECOS PAC ID | 3971630104 |
|---|---|
| Medicare Enrollment ID | O20100420001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477646271 | NPI | - | NPPES |
| 119654501 | Medicaid | TX | |
| 119654502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Carlos R Elizondo Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 S Gulf St, Alice, TX 78332 Phone: 361-664-0303 Fax: 866-845-0933 | |
Eusebio M Montejo Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E 5th St, Alice, TX 78332 Phone: 361-668-9600 | |
Alejandro Lopez Jr, M.d.,p.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Mariposa, Alice, TX 78332 Phone: 361-664-8811 Fax: 361-664-8992 | |
South Padre Island Pediatric Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E 4th St, Alice, TX 78332 Phone: 361-664-8945 | |
Ambiance Family Medical Clinic,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2041 E Main St, Suite 500, Alice, TX 78332 Phone: 361-661-0400 Fax: 361-661-0522 | |
Donald L. Mulder, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Flournoy Rd Ste 2, Alice, TX 78332 Phone: 361-668-0618 Fax: 361-668-9677 |