Provider Demographics
NPI:1831996842
Name:CAM MEDICAL PLLC
Entity type:Organization
Organization Name:CAM MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:EKORTARH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-529-7441
Mailing Address - Street 1:1309 E NOLANA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6190
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1309 E NOLANA AVE STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6190
Practice Address - Country:US
Practice Address - Phone:956-618-0348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty