St Marie Clinic P A

LBN: St Marie Clinic P A
St Marie Clinic P A is an health care organization with primary practice located at 305 E Expressway 83 , Mission TX 78572-5560. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St Marie Clinic P A can be contacted via phone (956) 585-7401, or through Carrillo, Eduardo via phone (956) 585-7401.

Contact Information

Primary practice address
305 E Expressway 83 Mission TX 78572-5560
Phone: (956) 585-7401
Fax: (956) 583-5833
Website:
Map and Directions
Authorized official contact:
Name: Carrillo, Eduardo Doctor of Medicine (MD)
Phone: (956) 585-7401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1396764577
LBN Legal business name St Marie Clinic P A
DBA Doing business as
Authorized official Carrillo, Eduardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 29th, 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 1396764577 NPPES
Texas MEDICAID 168788102

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