CLINICA SAGRADO CORAZON NPI 1770860116

NPI Information

  • NPI: 1770860116
  • Provider Name: CLINICA SAGRADO CORAZON
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 45D2036703
  • Address: 3401 W MILE 5 RD STE 1
    MISSION, TX
    ZIP 78574
  • Phone: (956) 778-2032

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NPI Details

CLINICA SAGRADO CORAZON is a clinic center in Mission, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CLINICA SAGRADO CORAZON NPI is 1770860116. The provider is registered as an organization entity type.

The provider's business location address is:

3401 W MILE 5 RD STE 1
MISSION, TX
ZIP 78574-177
Phone: (956) 778-2032
Fax: (956) 580-2677

The provider's authorized official is Pablo Olmedo .
The authorized official title is Owner and has the following contact phone number (956) 580-2145.

The CLIA number assigned to this NPI record is 45D2036703 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 2/12/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterM8225TEXASYes

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: 3/30/2025

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