Provider Demographics
NPI:1942638945
Name:MERCY CLINICS MD PA
Entity Type:Organization
Organization Name:MERCY CLINICS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:BANGASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-548-2020
Mailing Address - Street 1:58 E PRICE RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3508
Mailing Address - Country:US
Mailing Address - Phone:956-545-0080
Mailing Address - Fax:956-545-0071
Practice Address - Street 1:58 E PRICE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3508
Practice Address - Country:US
Practice Address - Phone:956-545-0080
Practice Address - Fax:956-545-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty