Provider Demographics
NPI:1477837300
Name:CANO FAMILY MEDICINE CLINIC, PLLC
Entity Type:Organization
Organization Name:CANO FAMILY MEDICINE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-350-9600
Mailing Address - Street 1:PO BOX 533878
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-3878
Mailing Address - Country:US
Mailing Address - Phone:956-350-9600
Mailing Address - Fax:956-350-8424
Practice Address - Street 1:100B E ALTON GLOOR BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3376
Practice Address - Country:US
Practice Address - Phone:956-350-9600
Practice Address - Fax:956-350-8424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9903207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty