Prado, Martina Tijerina
Prado, Martina Tijerina is an sole proprietor health care provider with primary practice located at 5510 Raphael Drive , Edinburg TX 78539. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Prado, Martina Tijerina can be contacted via phone (956) 362-2890.Contact Information
Primary practice address
5510 Raphael Drive
Edinburg TX 78539
Phone: (956) 362-2890
Fax: (956) 362-2488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 61574 | Texas |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Texas |
Profile Details
NPI number | 1407974447 |
---|---|
LBN Legal business name | Prado, Martina Tijerina |
Credentials | LBSW, M.ED., LPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 27th, 2007 |
Last updated | Oct 13th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407974447 | NPPES |
Texas | MEDICAID | 138708602 | |
Texas | MEDICAID | 138708610 | |
Texas | MEDICAID | 138708611 |
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