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NPI Code Detail

MEDICARE: ALFREDO SERRANO

MEDICARE:   ALFREDO  SERRANO
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
1363LF0000XFamily Nurse Practitioner1060861TX

General Provider Information

NPI Number : 1811656085
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFREDO SERRANO
Provider Business Mailing Address
First Line : 104 ALVAREZ CT
Second Line :
City : LOS FRESNOS
State : TX
Zip : 78566-3214
Country : US
Telephone Number : 956-590-3422
Fax Number :
Provider Business Practice Location Address
First Line : 725 W OCEAN BLVD
Second Line :
City : LOS FRESNOS
State : TX
Zip : 78566-3637
Country : US
Telephone Number : 956-233-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2021
Last Update Date : 11/05/2022

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Directions to “ ALFREDO SERRANO ” Practice Location

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