Provider Demographics
NPI:1518850858
Name:LA BLANCA CHILDREN'S CARE CLINIC PA
Entity type:Organization
Organization Name:LA BLANCA CHILDREN'S CARE CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-383-7788
Mailing Address - Street 1:PO BOX 1820
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-1820
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13500 STATE HWY 107 EAST
Practice Address - Street 2:UNIT 4
Practice Address - City:LA BLANCA
Practice Address - State:TX
Practice Address - Zip Code:78558
Practice Address - Country:US
Practice Address - Phone:956-383-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty