St Marie Clinic P a

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST MARIE CLINIC P A

Practice address

305 E Expressway 83
Mission, TX 78572-5560

Phone

(956) 424-7256

NPI assigned

Jun 14, 2007

Last updated

Jan 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eduardo Carrillo, M.D.

Title

Ceo

Phone

(956) 424-7256

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1952505794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E EXPRESSWAY 83",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725560",
            "telephone_number": "956-424-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E EXPRESSWAY 83",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725560",
            "telephone_number": "956-424-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARIE CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-424-7256",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mission, TX
• Providers in Mission, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.