FAIRGROUNDS FAMILY CLINIC PLLC


Address: 4505 Hummingbird Ln N, Harlingen, TX 78552-2422
Phone: 9566220554

FAIRGROUNDS FAMILY CLINIC PLLC (NPI# 1447857255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447857255
Entity Type Organization
Organization Name FAIRGROUNDS FAMILY CLINIC PLLC
Practice Address 4505 Hummingbird Ln N
Harlingen
TX 78552-2422
Practice Telephone 9566220554
Mailing Telephone 9566220554
Enumeration Date 2020-10-05
Last Update Date 2020-10-05
Authorized Official Name MR. MARLON MONAYAO (NP, CO- OWNER)
Authorized Official Telephone 9566220554
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 4505 HUMMINGBIRD LN N
City HARLINGEN
State TX
Zip Code 78552-2422

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City HARLINGEN
Zip Code 78552

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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