MI VIDA PRIMARY CARE LLC
Ambulatory Health at 21 St, Mcallen, TX

License number
Texas AP126924
Category
Ambulatory Health
Type
Primary Care
Owner
Name: JOHN PENA
Title: MANAGING MEMBER
Phone: (956) 624-9312
Address
Address
3318 N 21St St, Mcallen, TX 78501
National Provider ID: 1518365741
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MI VIDA PRIMARY CARE LLC at bizstanding.com

MI VIDA PRIMARY CARE LLC

3318 N 21 St, McAllen, TX 78501

Doing business as:
Mi Vida Primary Care LLC
Registration:
Dec 2, 2014
State ID:
0802109231
Business type:
Domestic Limited Liability Company (LLC)
Managing Member:
Lori Sue Zambrano (Managing Member)
Agent:
John L Pena,3318 N 21 St, McAllen, TX 78501 (Physical)
TIN:
32055791712

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