De Vera, Russel Ibias

De Vera, Russel Ibias is an individual health care provider with primary practice located at 3323 Midlands Cir , Edinburg TX 78539-6461. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. De Vera, Russel Ibias can be contacted via phone (410) 322-6531.

Contact Information

Primary practice address
3323 Midlands Cir Edinburg TX 78539-6461
Phone: (410) 322-6531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 704882 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP134775 Texas

Profile Details

NPI number 1386163806
LBN Legal business name De Vera, Russel Ibias
Credentials MSN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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