The Clinic At The Port

NPI 1205101417 - Clinic/Center - 261QE0002X

NPI Details
NPI 1205101417
Enumeration Date 03/21/2012
Last Updated 03/21/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LAHOMA MAE LAHOMA
Position OWNER
Phone (956) 831-3400
Fax
Practice Location
3150 N. INDIANA AVE
BROWNSVILLE TX, 78526, US
Phone (956) 831-3400
Fax
Business Location
P.O. BOX 1822
LOS FRESNOS TX, 78566, US
Phone (956) 831-3400
Fax
Toxanomy
Taxonomy Code 261QE0002X
License State
License Number
Remove 1205101417 NPI Number
 

According to our database, The Clinic At The Port NPI is 1205101417, taxonomy code is 261QE0002X The Clinic At The Port physically located at 3150 N. Indiana Ave, Brownsville TX, 78526. NPI Number 1033115704 has the healthcare provider type.

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1205101417 NPI number is provided on an as is basis without warranty of any kind. 1205101417 is maintained by the National Plan & Provider Enumeration System. The contents of The Clinic At The Port are for informational purposes only.