institution
Iris Well Child Physicals
Pediatric Clinical Nurse Specialist in Elsa, Texas
NPI 1881834539

Iris Well Child Physicals is a Pediatric Clinical Nurse Specialist based in Elsa, TX and is specialized in Pediatrics. Iris Well Child Physicals practices in Elsa, TX. The NPI Number for Iris Well Child Physicals is 1881834539 and holds a License No. 533197 (Texas).

The current practice location address for Iris Well Child Physicals is 200 W. Edinburg Hwy 107, Elsa, TX and can be reached out via phone at 956-262-9805 and via fax at 956-262-9233.

Location: 200 W. Edinburg Hwy 107, Elsa, TX, 78543-1274
institution
Provider Profile Details
NPI Number
1881834539
Provider Name
Iris Well Child Physicals
Credential
Provider Entity Type
Organization
Address
200 W. Edinburg Hwy 107, Elsa, TX, 78543-1274
Phone Number
956-262-9805
Fax Number
956-262-9233
Provider Enumeration Date
02/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121084102 01 TX MEDICAID-EPSDT
121392 01 TX SUPERIOR HEALTHPLAN NETWORK
8N8564 01 TX BLUE CROSS BLUE SHIELD OF TEXAS
121084101 05 TX
institution
Provider Business Practice Location Address Details
Address
200 W. Edinburg Hwy 107
City
State
Zip
78543-1274
Phone Number
956-262-9805
Fax Number
956-262-9233
person
Provider Business Mailing Address Details
Address
200 W. Edinburg Hwy 107
City
State
Zip
78543-1274
Phone Number
956-262-9805
Fax Number
956-262-9233
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Pediatrics
Taxonomy
License No.
533197 (Texas)
Definition
Definition to come...
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