Idris Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

N9878 Issued in TX

Legal business name

IDRIS CENTER

Practice address

5405 N McColl Rd
McAllen, TX 78504-2206

Phone

(956) 630-9901

NPI assigned

Sep 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Munoz

Title

Receptionist

Phone

(956) 630-9901

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1134599707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042206",
            "telephone_number": "956-630-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042206",
            "telephone_number": "956-630-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDRIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "956-630-9901"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "N9878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in McAllen, TX
• Providers in McAllen, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.