Adira Physician Partners, PLLC
Family Medicine in Laredo, TX. Organization (NPI-2).
NPI number1356077143
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1356077143
- Entity type
- Organization (NPI-2)
- Legal business name
- Adira Physician Partners, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2022
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
6999 Mcpherson Rd Ste 108Laredo, TX 78041-6450
Phone 860-335-6456 · Fax 512-582-8585
Mailing address
10055 Tulare LnFort Worth, TX 76177-7397
Phone 817-913-5563
Authorized official
Victor Burgos
Owner
8179135563
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