St Marie Clinic P a

NPI #1396764577 in Mission, Texas

Provider Information

NPI Number
1396764577
Entity Type
Organization
Organization Name
St Marie Clinic P a
Primary Specialty
Family Medicine
Enumeration Date
Jul 19, 2006
Last Updated
Dec 29, 2009

Practice Location

Address
305 E EXPRESSWAY 83
State
Texas
ZIP Code
78572-5560
Phone
(956) 585-7401

Authorized Official

Name
DR. EDUARDO CARRILLO, M.D.
Title
OWNER/CEO
Phone
(956) 585-7401

Specialties & Taxonomy Codes

Specialty
Family Medicine

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