St Marie Clinic Pa in Mission - Adolescent Medicine
St Marie Clinic Pa - NPI 1336274380
St Marie Clinic Pa is a Adolescent Medicine in Mission, Texas. St Marie Clinic Pa practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for St Marie Clinic Pa is 1336274380. The last update date is 2020-08-22.
St Marie Clinic Pa's current location address is 305 E Expressway 83, Mission, Texas. You can contact this provider via phone number 9565857401 and fax number 9565801788. The mailing address for St Marie Clinic Pa is 305 E Expressway 83, Mission, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Marie Clinic Pa |
|---|---|
| Address | 305 E Expressway 83, Mission, Texas |
| Phone Number | 9565857401 |
| Fax Number | 9565801788 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Carrillo Eduardo |
| Credentials | MD |
| Telephone Number | 9565857401 |
NPI Number Detail
| NPI Number | 1336274380 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 305 E Expressway 83 |
|---|---|
| City | Mission |
| State | Texas (TX) |
| Post Code | 785725560 |
| Phone Number | 9565857401 |
| Fax Number | 9565801788 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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What is the St Marie Clinic Pa's 1336274380?
The St Marie Clinic Pa's NPI (National Provider Identifier) Number is 1336274380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of St Marie Clinic Pa?
The St Marie Clinic Pa is physically situated at 305 E Expressway 83, in the city of Mission, state of TX, with the postal code 785725560.
What is St Marie Clinic Pa's area of expertise and its corresponding taxonomy classification?
The St Marie Clinic Pa's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
On what date did St Marie Clinic Pa receive its 1336274380 assignment from the Centers for Medicare & Medicaid Services?
The St Marie Clinic Pa was assigned its 1336274380 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to St Marie Clinic Pa last refreshed?
The information related to the St Marie Clinic Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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