Provider Demographics
NPI:1578565057
Name:CLINICA Y FARMACIA MEXICO
Entity Type:Organization
Organization Name:CLINICA Y FARMACIA MEXICO
Other - Org Name:CLINICA MEXICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:186-643-9376
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78853-0027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TERAN OTE. NO. 401
Practice Address - Street 2:ZONA CENTRO
Practice Address - City:PIEDRAS NEGRAS
Practice Address - State:COAHUILA
Practice Address - Zip Code:26000
Practice Address - Country:MX
Practice Address - Phone:52878-782-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-13
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital