| Doctor Name: | MARIBEL DEPONCE |
| NPI Number: | 1003047523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA06251 |
| Business Practice Address: | 512 Victoria Ln Suite 2 Harlingen, TX - 785503226 |
| Business Phone Number: | 9563654400 |
| Business Fax Number: | 9563654111 |
| Mailing Address: | 512 Victoria Ln, Suite 2 HARLINGEN |
| State: | TX |
| Postal Code: | 785503226 |
| Phone Number: | 9563654400 |
| Fax Number: | 9563654111 |
| NPI Enumeration Date: | 07/31/2009 |
| NPI Last Update Date: | 06/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA06251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |