| Doctor Name: | MS. EDELMIRA O RESENDEZ |
| NPI Number: | 1134328453 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 115418 |
| Business Practice Address: | 1300 Combes St San Benito, TX - 785863432 |
| Business Phone Number: | 9563994997 |
| Business Fax Number: | |
| Mailing Address: | 1300 Combes St, SAN BENITO |
| State: | TX |
| Postal Code: | 785863432 |
| Phone Number: | 9563994997 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 115418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |