Kelly's Primary Care, Inc

NPI 1083749824 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1083749824
Enumeration Date 02/22/2007
Last Updated 06/07/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAYNIE JAYNIE
Position ADMINISTRATOR
Phone (956) 583-0141
Fax (956) 583-0143
Practice Location
2009 N CONWAY AVE
MISSION TX, 78572-2965, US
Phone (956) 583-0141
Fax (956) 583-0143
Business Location
2007 N CONWAY AVE
MISSION TX, 78572, US
Phone (956) 583-0141
Fax (956) 583-0143
Toxanomy
Taxonomy Code 305R00000X
License State Texas
License Number 006524
Remove 1083749824 NPI Number
 

According to our database, Kelly's Primary Care, Inc NPI is 1083749824, taxonomy code is 305R00000X and license number is 006524, license state is located at Texas. Kelly's Primary Care, Inc physically located at 2009 N Conway Ave, Mission TX, 78572-2965. NPI Number 1033115704 has the healthcare provider type.

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1083749824 NPI number is provided on an as is basis without warranty of any kind. 1083749824 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly's Primary Care, Inc are for informational purposes only.