Ag Medical PLLC
Family Medicine in Mission, TX. Organization (NPI-2).
NPI number1265170948
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1265170948
- Entity type
- Organization (NPI-2)
- Legal business name
- Ag Medical PLLC
- Organization subpart
- No
- Enumeration date
- May 23, 2022
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Acevedo Pediatric Clinic (Doing Business As)
Practice location
2412 N Conway AveMission, TX 78574-2347
Phone 956-833-5437 · Fax 956-833-5444
Mailing address
2412 N Conway AveMission, TX 78574-2347
Phone 956-833-5437 · Fax 956-833-5444
Other practice locations
4836 S Jackson Rd
Edinburg, TX 78539-6539
Edinburg, TX 78539-6539
Phone 956-833-5437
Authorized official
Roberto Acevedo
President
9565292202
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