Mediconnect PLLC
Organization Active NPI Internal Medicine Physician · Hidalgo, TX
NPI 1306607601 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1306607601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- MEDICONNECT PLLC
- Practice address
- 3001 N McColl St
Hidalgo, TX 78557-3935 - Phone
- (956) 627-0510
- Fax
- (956) 322-5476
- NPI assigned
- Jan 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Anurag Srivastava
- Title
- President
- Phone
- (956) 533-6049
Practitioners 3
-
Thomas Joseph Miller, M.D.
-
Aparna Mohan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240229004214 | TX | Part B Supplier - Clinic/Group Practice | 1052756996 |
Receives reassigned benefits from 2 practitioners Practice locations: Hidalgo, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
3001 N McColl St
Hidalgo, TX 78557-3935
Mailing address
3001 N McColl St
Hidalgo, TX 78557-3935
Phone (956) 627-0510
Other names
- Hidalgo Family Clinic
Other providers in Hidalgo, TX
- Hwalgreens
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- Jalba Investments LLC
- Juan H Ramirez
- Las Golondrinas Primary Home Care, LLC
- Alba H Mendiola
- Aparna Mohan
- Liza Molina
- Ricardo A Neira
- Next Step Rehab, Inc
All providers in Hidalgo, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.