Clinica Sagrado Corazon
Clinic/Center in Mission, TX. Organization (NPI-2).
NPI number1770860116
StatusActive
Last updated in NPPESFeb 12, 2014
Details
- NPI
- 1770860116
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinica Sagrado Corazon
- Organization subpart
- No
- Enumeration date
- Nov 14, 2011
- Last updated
- Feb 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | M8225 | TX | Yes |
Practice location
3401 W Mile 5 Rd Ste 1Mission, TX 78574-5177
Phone 956-778-2032 · Fax 956-580-2677
Mailing address
3401 W Mile 5 Rd Ste 1Mission, TX 78574-5177
Phone 956-778-2032 · Fax 956-580-2677
Authorized official
Pablo Olmedo
Owner
9565802145
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