Provider Demographics
NPI:1023205762
Name:MEDICAL CLINIC MANAGEMENT INC.
Entity Type:Organization
Organization Name:MEDICAL CLINIC MANAGEMENT INC.
Other - Org Name:ACTION PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MESQUIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-423-2504
Mailing Address - Street 1:PO BOX 1069
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78551-1069
Mailing Address - Country:US
Mailing Address - Phone:956-423-2504
Mailing Address - Fax:956-423-2027
Practice Address - Street 1:1401 S 6TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2959
Practice Address - Country:US
Practice Address - Phone:956-668-1883
Practice Address - Fax:956-668-8173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty