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Contact Information

ST. MARIE CLINIC, P.A.
305 E EXPRESSWAY 83
MISSION, TX78572-5560
 Phone: 956-585-2009
 Fax: 956-583-5833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST. MARIE CLINIC, P.A.

NPI Number 1104919216
LBN Legal business name ST. MARIE CLINIC, P.A.
Authorized official EDUARDO CARRILLO - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/14/2008 - About 18 years ago
Identifiers
TX License # 45-37380
TX Other 45-37380 NCPDP NUMBER
TX Other 145560 VENDOR DRUG NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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