TESORO MEDICAL CARE P.A. NPI 1841471463

NPI Information

TESORO MEDICAL CARE P.A. is a clinic center in Laredo, 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). TESORO MEDICAL CARE P.A. NPI is 1841471463. The provider is registered as an organization entity type.

The provider's business location address is:

101 W VILLAGE BLVD STE A
LAREDO, TX
ZIP 78041-211
Phone: (956) 727-2997
Fax: (956) 727-3557

The provider's authorized official is Victor Daniel Trevino .
The authorized official title is President and has the following contact phone number (956) 727-2997.

The CLIA number assigned to this NPI record is 45D2035709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 3/24/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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