Iris Well Child Physicals

LBN: Iris Well Child Physicals
Iris Well Child Physicals is an health care organization with primary practice located at 200 W. Edinburg Hwy 107 Suite B, Elsa TX 78543-1274. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as the primary health care specialty. Iris Well Child Physicals can be contacted via phone (956) 262-9805, or through Garcia, Iris via phone (956) 262-9805.

Contact Information

Primary practice address
200 W. Edinburg Hwy 107 Suite B Elsa TX 78543-1274
Fax: (956) 262-9233
Website:
Authorized official contact:
Name: Garcia, Iris R.N., PNP

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 533197 Texas

Profile Details

NPI number 1881834539
LBN Legal business name Iris Well Child Physicals
DBA Doing business as
Authorized official Garcia, Iris R.N., PNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2009
Last updated Feb 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881834539 NPPES
Texas Other 121084102 MEDICAID-EPSDT
Texas Other 121392 MEDICAID-EPSDT
Texas Other 8N8564 MEDICAID-EPSDT
Texas MEDICAID 121084101 MEDICAID-EPSDT

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