Provider Demographics
NPI:1497209902
Name:PCP HEALTH SYSTEM CONSULTANTS, LLC
Entity Type:Organization
Organization Name:PCP HEALTH SYSTEM CONSULTANTS, LLC
Other - Org Name:MEDICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:P
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-307-4355
Mailing Address - Street 1:5112 MCPHERSON RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-7337
Mailing Address - Country:US
Mailing Address - Phone:956-307-4355
Mailing Address - Fax:956-307-4356
Practice Address - Street 1:5112 MCPHERSON RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-7337
Practice Address - Country:US
Practice Address - Phone:956-307-4355
Practice Address - Fax:956-307-4356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX365428701Medicaid
TX365428702Medicaid