Longoria, Sandra

Longoria, Sandra is an individual health care provider with primary practice located at 800 W Jefferson St Ste 200, Brownsville TX 78520-6329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Longoria, Sandra can be contacted via phone (956) 574-0431.

Contact Information

Primary practice address
800 W Jefferson St Ste 200 Brownsville TX 78520-6329
Phone: (956) 574-0431
Fax: (956) 541-1011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA09013 Texas

Profile Details

NPI number 1548686819
LBN Legal business name Longoria, Sandra
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2014
Last updated Jun 15th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548686819 NPPES
Texas MEDICAID 138708611
Texas MEDICAID 342162001
Texas Other 382245YLPS
Texas MEDICAID 138708613
Texas Other 00R945

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