Provider Demographics
NPI:1720897408
Name:PHOENIX PRIMARY CARE & WELLNESS
Entity type:Organization
Organization Name:PHOENIX PRIMARY CARE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-966-0552
Mailing Address - Street 1:3016 N MCCOLL RD STE C
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5565
Mailing Address - Country:US
Mailing Address - Phone:956-800-1129
Mailing Address - Fax:956-800-1138
Practice Address - Street 1:3016 N MCCOLL RD STE C
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5565
Practice Address - Country:US
Practice Address - Phone:956-800-1129
Practice Address - Fax:956-800-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty