Hacienda Las Fuentes,llc

NPI 1487987566 - Clinic/Center - 261QA0600X

NPI Details
NPI 1487987566
Enumeration Date 09/08/2009
Last Updated 09/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name VERONICA VERONICA
Position MANAGER/OWNER
Phone (956) 793-3458
Fax (956) 485-1193
Practice Location
6920 W EXPRESSWAY 83
MISSION TX, 78572-9558, US
Phone (956) 793-3458
Fax (956) 485-1193
Business Location
PO BOX 280
SULLIVAN CITY TX, 78595-0280, US
Phone (956) 793-3458
Fax (956) 485-1193
Toxanomy
Taxonomy Code 261QA0600X
License State
License Number
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According to our database, Hacienda Las Fuentes,llc NPI is 1487987566, taxonomy code is 261QA0600X Hacienda Las Fuentes,llc physically located at 6920 W Expressway 83, Mission TX, 78572-9558. NPI Number 1033115704 has the healthcare provider type.

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1487987566 NPI number is provided on an as is basis without warranty of any kind. 1487987566 is maintained by the National Plan & Provider Enumeration System. The contents of Hacienda Las Fuentes,llc are for informational purposes only.