Doctor Name: | MR. ROGELIO CONTRERAS |
NPI Number: | 1316044753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, APRN, FNP-BC |
License Number: | AP115036 |
Business Practice Address: | 128 N Fm 3167 Rhc Rio Grande City, TX - 785820078 |
Business Phone Number: | 9564870453 |
Business Fax Number: | 9564876190 |
Mailing Address: | Po Box 78, RIO GRANDE CITY |
State: | TX |
Postal Code: | 785820078 |
Phone Number: | 9564870453 |
Fax Number: | 9564876190 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP115036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |