Organization · NPI-2

Agustin B Mego MD PA

Family Medicine · Mcallen, TX

NPI number1669803102
StatusActive
Last updated in NPPESAug 21, 2024

Details

NPI
1669803102
Entity type
Organization (NPI-2)
Legal business name
Agustin B Mego MD PA
Organization subpart
No
Enumeration date
Dec 10, 2013
Certification date
Aug 21, 2024
Last updated
Aug 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineL9808TXYes

Other names

  • Emmanuel Clinic Children And Adults (Doing Business As)

Practice location

3601 Buddy Owens Ave Ste 100
Mcallen, TX 78504-6447

Phone 956-686-6346 · Fax 956-686-6347

Mailing address

3601 Buddy Owens Ave Ste 100
Mcallen, TX 78504-6447

Phone 956-686-6346 · Fax 956-686-6347

Authorized official

Agustin B Mego
Owner
9566866346

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