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PREMIER MEDICLINIC PA NPI 1639627805


NPI Information

NPI: 1639627805
Provider Name: PREMIER MEDICLINIC PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
4101 S SHARY RD
STE 101-A
MISSION, TX
ZIP 78572
Phone: (956) 583-8889
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PREMIER MEDICLINIC PA is a medical physician assistant in Mission, TX. PREMIER MEDICLINIC PA NPI is 1639627805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4101 S SHARY RD
STE 101-A
MISSION, TX
ZIP 78572
Phone: (956) 583-8889
Fax: (956) 583-8820

The provider's authorized official is Shahid Rashid .
The authorized official title is Owner/physician and has the following contact phone number (956) 687-8120.

The enumeration date for this NPI number is 9/16/2016 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalNo
2363AM0700XPhysician AssistantMedicalPA03404TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.