Provider Demographics
NPI:1356893598
Name:MCR MEDICAL CENTER, PLLC
Entity type:Organization
Organization Name:MCR MEDICAL CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:956-722-8300
Mailing Address - Street 1:8511 MCPHERSON RD ST 215
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6498
Mailing Address - Country:US
Mailing Address - Phone:956-722-8300
Mailing Address - Fax:956-722-8303
Practice Address - Street 1:8511 MCPHERSON RD
Practice Address - Street 2:STE 215
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6498
Practice Address - Country:US
Practice Address - Phone:956-722-8300
Practice Address - Fax:956-722-8303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN NUMBER