Provider Demographics
NPI:1417067240
Name:SUMYRA MEHKRI MD PA
Entity Type:Organization
Organization Name:SUMYRA MEHKRI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUMYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHKRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-227-8504
Mailing Address - Street 1:7120 N WARE RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5819
Mailing Address - Country:US
Mailing Address - Phone:956-227-8504
Mailing Address - Fax:956-668-9212
Practice Address - Street 1:7120 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5819
Practice Address - Country:US
Practice Address - Phone:956-227-8504
Practice Address - Fax:956-668-9212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8336261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG96852Medicare UPIN