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NPI Code Detail

MEDICARE: JOSE ALBERTO FISCAL

MEDICARE: JOSE ALBERTO FISCAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician

General Provider Information

NPI Number : 1316530298
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ALBERTO FISCAL
Provider Business Mailing Address
First Line : 2155 PAREDES LINE RD
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1609
Country : US
Telephone Number : 956-574-9710
Fax Number : 956-574-0442
Provider Business Practice Location Address
First Line : 2155 PAREDES LINE RD
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78521-1609
Country : US
Telephone Number : 956-574-9710
Fax Number : 956-574-0442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2021
Last Update Date : 02/11/2021

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Directions to “ JOSE ALBERTO FISCAL ” Practice Location

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