Providence Medical and Geriatric Associates, PA

NPI #1942409198 in Mcallen, Texas

Provider Information

NPI Number: 1942409198
Entity Type: Organization
Organization Name: Providence Medical and Geriatric Associates, PA
Primary Specialty: General Practice
Enumeration Date: Jul 17, 2007
Last Updated: Jan 20, 2020

Practice Location

Address: 110 E SAVANNAH AVE
Address 2: BLDG C SUITE 103
City: Mcallen
State: Texas
ZIP Code: 78503-1241
Phone: (956) 971-8800

Authorized Official

Name: DR. OLGA MARIA OLIVARES-HERRERA, MD
Title: PRESIDENT
Phone: (956) 971-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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